Provider Demographics
NPI:1689669962
Name:IYER, RAJINI (MD)
Entity type:Individual
Prefix:
First Name:RAJINI
Middle Name:
Last Name:IYER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13728 NASH LN
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-0479
Mailing Address - Country:US
Mailing Address - Phone:714-296-6056
Mailing Address - Fax:
Practice Address - Street 1:13728 NASH LN
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75035-0479
Practice Address - Country:US
Practice Address - Phone:714-296-6056
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-13
Last Update Date:2024-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA41811207V00000X
TXR9781207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A418110Medicaid
CA00A418110Medicare ID - Type Unspecified
CA00A418110Medicaid