| Kanakavalli Suresh Iyer, MD | |
|
2975 Sycamore Dr, Simi Valley, CA 93065-1201 | |
| (805) 955-6900 | |
| (805) 955-6063 |
| Full Name | Kanakavalli Suresh Iyer |
|---|---|
| Gender | Female |
| Speciality | Anesthesiology |
| Location | 2975 Sycamore Dr, Simi Valley, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285658807 | NPI | - | NPPES |
| 00A562340 | Other | CA | BLUE SHIELD |
| 00A562340 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | A56234 (California) | Primary |
| Entity Name | Kanakavalli Suresh Iyer Md Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700250578 PECOS PAC ID: 7810886405 Enrollment ID: O20040311001501 |
| Mailing Address | Practice Location Address |
|---|---|
| Kanakavalli Suresh Iyer, MD Po Box 7001, 1000, Tarzana, CA 91357-7001 Ph: (818) 888-7815 | Kanakavalli Suresh Iyer, MD 2975 Sycamore Dr, Simi Valley, CA 93065-1201 Ph: (805) 955-6900 |
Vivek Ratnakar Ullal, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2975 Sycamore Dr, Simi Valley, CA 93065 Phone: 805-955-6900 Fax: 805-955-6063 | |
Rajiv Budden, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1920 E Los Angeles Ave, Simi Valley, CA 93065 Phone: 805-306-8800 Fax: 805-306-8818 | |
Martha Mantilla Donovan, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2975 Sycamore Dr, Simi Valley, CA 93065 Phone: 805-955-6900 Fax: 805-955-6063 | |
Mitchell Lee Solomon, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2975 Sycamore Dr, Simi Valley, CA 93065 Phone: 805-955-6900 Fax: 805-955-6063 | |
Dr. Zaheer S Zaidi, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2975 Sycamore Dr, Simi Valley, CA 93065 Phone: 805-955-6000 | |
Kyo Young Chu, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2975 Sycamore Dr, Simi Valley, CA 93065 Phone: 805-955-6900 Fax: 805-955-6063 |