Iyer, Prashanth S

Iyer, Prashanth S is an individual health care provider with primary practice located at 1919 S Wheeling Ave Ste 600 , Tulsa OK 74104-5635. 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) 634-7500.

Contact Information

Primary practice address
1919 S Wheeling Ave Ste 600 Tulsa OK 74104-5635
Fax: (918) 634-7560
Website:

Health care specialties

SpecialtyCodeLicense #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 Sep 22nd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1710417092 NPPES
Oklahoma MEDICAID 201100560A

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