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Contact Information

JAISIMHA K IYENGAR, MD
1818 S UNION AVE
STE 1A
TACOMA, WA98405-1953
 Phone: 253-627-2666
 Fax: 253-627-8661
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
Indicates primary specialty

NPI Profile & details for JAISIMHA K IYENGAR · (Male)

NPI Number 1194770164
Status Active
Credentials MD
Entity Individual
Enumeration date 05/24/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • WA License # MD00036006
Hospital affiliation(s) Not Available
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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