Iyengar, Revathi

Iyengar, Revathi is an individual health care provider with primary practice located at 600 E Dixie Ave , Leesburg FL 34748-5925. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Neurophysiology, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is her primary health care specialty. Iyengar, Revathi can be contacted via phone (352) 323-5467.

Contact Information

Primary practice address
600 E Dixie Ave Leesburg FL 34748-5925
Phone: (352) 323-5467
Fax: (352) 315-3633
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Neurophysiology 2084N0600X ME113806 Florida
Allopathic & Osteopathic Physicians / Neurology 2084N0400X ME113806 Florida

Profile Details

NPI number 1457509168
LBN Legal business name Iyengar, Revathi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 5th, 2008
Last updated Feb 10th, 2022 - about 2 years ago

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.

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