Provider Demographics
NPI:1447224464
Name:IYER, AKILA A (MD)
Entity type:Individual
Prefix:DR
First Name:AKILA
Middle Name:A
Last Name:IYER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:AKILA
Other - Middle Name:
Other - Last Name:ANANTHAKRISHNAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2995 DREW ST FL 2
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33759-3012
Mailing Address - Country:US
Mailing Address - Phone:727-281-9065
Mailing Address - Fax:
Practice Address - Street 1:4821 US HIGHWAY 19 STE 4
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34652-4259
Practice Address - Country:US
Practice Address - Phone:727-851-9654
Practice Address - Fax:813-635-7942
Is Sole Proprietor?:No
Enumeration Date:2006-02-15
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME89251207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL299699OtherAVMED
FL272060400Medicaid
FL30140OtherBCBS
FLU2687UMedicare PIN
FLU2687TMedicare PIN
H74547Medicare UPIN
FL30140OtherBCBS