Provider Demographics
NPI:1992990634
Name:IYER SANKARAN M.D.P.A.
Entity type:Organization
Organization Name:IYER SANKARAN M.D.P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:IYER
Authorized Official - Middle Name:
Authorized Official - Last Name:SANKARAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-333-3284
Mailing Address - Street 1:3132 HASSI PT
Mailing Address - Street 2:
Mailing Address - City:LONGWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:32779-3126
Mailing Address - Country:US
Mailing Address - Phone:407-333-3284
Mailing Address - Fax:407-333-3285
Practice Address - Street 1:3132 HASSI PT
Practice Address - Street 2:
Practice Address - City:LONGWOOD
Practice Address - State:FL
Practice Address - Zip Code:32779-3126
Practice Address - Country:US
Practice Address - Phone:407-333-3284
Practice Address - Fax:407-333-3285
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-06
Last Update Date:2007-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME36860207LC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LC0200XAllopathic & Osteopathic PhysiciansAnesthesiologyCritical Care MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL95787Medicare UPIN