Provider Demographics
NPI:1871723825
Name:IYER, NARAYANAN GOPALAKRISHNA (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:NARAYANAN
Middle Name:GOPALAKRISHNA
Last Name:IYER
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1233 YORK AVE
Mailing Address - Street 2:APT 15N
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-6306
Mailing Address - Country:US
Mailing Address - Phone:646-207-1087
Mailing Address - Fax:
Practice Address - Street 1:1275 YORK AVE, MEMORIAL SLOAN KETTERING CANCER CENTER
Practice Address - Street 2:DEPT OF HEAD AND NECK SURGERY
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-6007
Practice Address - Country:US
Practice Address - Phone:212-639-4000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-23
Last Update Date:2009-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP69749208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery