Iyer, Prashanth S
Iyer, Prashanth S is an individual health care provider with primary practice located at 1919 S Wheeling Ave Ste 105 , Tulsa OK 74104-5638. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Iyer, Prashanth S can be contacted via phone (918) 749-6400.Contact Information
Primary practice address
1919 S Wheeling Ave Ste 105
Tulsa OK 74104-5638
Phone: (918) 749-6400
Fax: (918) 749-2168
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 39831 | Oklahoma |
Profile Details
| NPI number | 1710417092 |
|---|---|
| LBN Legal business name | Iyer, Prashanth S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 19th, 2017 |
| Last updated | Feb 21st, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710417092 | NPPES |
| Oklahoma | MEDICAID | 201100560A |
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