| Shankar Iyer, | |
|
1602 Avenue Q, Lubbock, TX 79401-4732 | |
| (972) 591-0085 | |
| Not Available |
| Full Name | Shankar Iyer |
|---|---|
| Gender | Male |
| Speciality | Student In An Organized Health Care Education/training Program |
| Location | 1602 Avenue Q, Lubbock, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568027860 | NPI | - | NPPES |
| Entity Name | Physical Express |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043362734 PECOS PAC ID: 3476531039 Enrollment ID: O20050720000998 |
| Entity Name | Ivy Creek Of Elmore Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558868323 PECOS PAC ID: 8426075508 Enrollment ID: O20051027001031 |
| Entity Name | Wetumpka Urgent Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194057554 PECOS PAC ID: 6800053133 Enrollment ID: O20120130000098 |
| Entity Name | Chilton Urgent Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366857674 PECOS PAC ID: 7517189855 Enrollment ID: O20141120002311 |
| Entity Name | Enterprise Urgent Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285180729 PECOS PAC ID: 1456647197 Enrollment ID: O20160907001338 |
| Entity Name | River Region Family Medicine, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578195525 PECOS PAC ID: 2163853151 Enrollment ID: O20200506002757 |
| Entity Name | Ivy Creek Family Care Of Lake Martin |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609572890 PECOS PAC ID: 6103281977 Enrollment ID: O20230501000230 |
| Mailing Address | Practice Location Address |
|---|---|
| Shankar Iyer, 1602 Avenue Q, Lubbock, TX 79401-4732 Ph: () - | Shankar Iyer, 1602 Avenue Q, Lubbock, TX 79401-4732 Ph: (972) 591-0085 |