Iyengar, Vasundhara G
Iyengar, Vasundhara G is an individual health care provider with primary practice located at 1920 Don Wickham Dr Ste 100 , Clermont FL 34711-1977. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Medical Oncology is her primary health care specialty. Iyengar, Vasundhara G can be contacted via phone (352) 394-1150.Contact Information
Primary practice address
1920 Don Wickham Dr Ste 100
Clermont FL 34711-1977
Phone: (352) 394-1150
Fax: (352) 394-1560
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology | 207RH0000X | ME0044726 | Florida |
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | ME0044726 | Florida |
Profile Details
| NPI number | 1770548679 |
|---|---|
| LBN Legal business name | Iyengar, Vasundhara G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 20th, 2006 |
| Last updated | Nov 13th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770548679 | NPPES |
| Florida | MEDICAID | 040458600 |
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