Iyengar, Sridhara K S

Iyengar, Sridhara K S is an sole proprietor health care provider with primary practice located at 11100 Warner Ave # 320, Fountain Valley CA 92708-7511. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Iyengar, Sridhara K S can be contacted via phone (714) 549-1294.

Contact Information

Primary practice address
11100 Warner Ave # 320 Fountain Valley CA 92708-7511
Phone: (714) 549-1294
Fax: (714) 549-1296
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X C42391 California

Profile Details

NPI number 1710077136
LBN Legal business name Iyengar, Sridhara K S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 14th, 2006
Last updated Oct 6th, 2009 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1710077136 NPPES
California MEDICAID 00C423910

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