Iyer, Kanakavalli Suresh

Iyer, Kanakavalli Suresh is an sole proprietor health care provider with primary practice located at 2975 Sycamore Dr , Simi Valley CA 93065-1201. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Iyer, Kanakavalli Suresh can be contacted via phone (805) 955-6900.

Contact Information

Primary practice address
2975 Sycamore Dr Simi Valley CA 93065-1201
Phone: (805) 955-6900
Fax: (805) 955-6063
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X A56234 California

Profile Details

NPI number 1285658807
LBN Legal business name Iyer, Kanakavalli Suresh
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 27th, 2006
Last updated Oct 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285658807 NPPES
California Other 00A562340 BLUE SHIELD
California MEDICAID 00A562340 BLUE SHIELD

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