National Provider Identifier Database

NANDINI B IYENGAR, MD – NPI #1124093778
Developmental - Behavioral Pediatrics

A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.


Contact Information

NANDINI B IYENGAR, MD
5501 OLD YORK RD
PHILADELPHIA, PA19141-3018
Phone: 215-456-6789
Fax: 215-456-2356
Website:
Specialty Taxonomy Code
* Developmental - Behavioral Pediatrics 2080P0006X
Pediatrics 208000000X

* Indicates primary specialty

NPI Profile & details for NANDINI B IYENGAR

NPI Number 1124093778
Credentials MD
Entity Individual
Enumeration date 02/17/2006
Last updated 11/18/2020 - About 6 years ago
Sole proprietor1 No
Identifiers
  • MS License #: 15551
  • PA License #: 061670
  • PA License #: MD061670L
  • MS Medicaid: 00118490
  • PA Medicaid: 101907250
  • PA Medicaid: MD061670L
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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