DR. MALLIKA IYER (NPI# 1417965096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417965096 |
| Entity Type | Individual |
| Full Name | DR. MALLIKA IYER |
| Credential | M.D. |
| Practice Address |
100 Medical Center Blvd #120 Conroe TX 77304-2888 |
| Mailing Address |
Po Box 8877 The Woodlands TX 77387-8877 |
| Practice Telephone | 9364419944 |
| Practice Fax Number | 9364419910 |
| Mailing Telephone | 9364419944 |
| Mailing Fax Number | 9364419910 |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2014-09-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207KA0200X |
Allergy & Immunology Specialization: Allergy |
K0838 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 043533102 | 05 | |
| TX | RAILROAD MEDICARE | P00148033 | 01 |
| TX | BCBS | 8A4680 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780219089 | Mallika Tara Iyer | Behavior Technician | 64 S Bedford Street, Burlington, MA 01803 | 2020-03-06 |
| 1518288737 | Mallika Iyer | Physical Therapist | 667 Palm Ave, Suite A, Imperial Beach, CA 91932-1243 | 2010-06-22 |
| Street Address |
100 MEDICAL CENTER BLVD #120 |
| City | CONROE |
| State | TX |
| Zip Code | 77304-2888 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003813619 | June-chieh Chang | Legal Medicine | 100 Medical Center Blvd, Ste 102, Conroe, TX 77304-2821 | 2005-06-29 |
| 1063870269 | Carrye Boris | Nurse Practitioner | 100 Medical Center Blvd, Ste 200, Conroe, TX 77304-2888 | 2016-02-02 |
| 1184046070 | Saulette Queen, Md, Pllc | Internal Medicine | 100 Medical Center Blvd, Ste. 200, Conroe, TX 77304-2888 | 2014-01-10 |
| 1114275500 | Natallia Echeandia | Specialist | 100 Medical Center Blvd, Ste 213, Conroe, TX 77304-2888 | 2012-08-16 |
| 1437405875 | Wesley T. Myers, Md Pa | Specialist | 100 Medical Center Blvd, Ste 213, Conroe, TX 77304 | 2012-08-02 |
| 1356589956 | Preeti Desai | Internal Medicine | 100 Medical Center Blvd, Suite 200, Conroe, TX 77304-2888 | 2009-02-04 |
| 1174769921 | Christopher Wong Md Pa | Internal Medicine | 100 Medical Center Blvd, Ste 213, Conroe, TX 77304-2888 | 2008-12-29 |
| 1154571883 | Dimitrios Mantzoros | Durable Medical Equipment & Medical Supplies | 100 Medical Center Blvd, Ste 216, Conroe, TX 77304-2888 | 2008-09-30 |
| 1881857951 | Timothy Casperson | Podiatrist | 100 Medical Center Blvd, Suite 216, Conroe, TX 77304-2888 | 2008-07-08 |
| 1962674804 | Yousuf Ahmed,md Pa | Pediatrics | 100 Medical Center Blvd, Suite 110, Conroe, TX 77304-2888 | 2008-04-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194348649 | Neuropsychiatric Hospital of Greater Houston, LLC | Psychiatric Hospital | 1317 South Loop Road 336 West, Conroe, TX 77304 | 2020-05-19 |
| 1780148676 | Muve - Conroe Ambulatory Surgical Center, LLC | Clinic/Center | 1246 N Farm To Market 3083 Rd W, Conroe, TX 77304 | 2019-01-25 |
| 1922591411 | Bradley Leiker II | Dentist | 381 South Loop 336 West Suite 500, Conroe, TEXAS 77304 | 2018-06-11 |
| 1598266009 | Chapman Pain Consultants | Anesthesiology | 4015 I45 North, Suite 230-1, Conroe, TX 77304 | 2018-02-21 |
| 1063932366 | Jonathan Garcia | Specialist/Technologist | 1716 Summergate Drive, Conroe, TX 77304 | 2017-06-27 |
| 1932634169 | 3083 Imaging LLC | Clinic/Center | 1246 N Fm 3083 West, Conroe, TX 77304 | 2017-04-25 |
| 1881138758 | Bolt Urgent Care and Imaging Center, LLC | Clinic/Center | 1246 Fm 3083 West, Conroe, TX 77304 | 2016-12-13 |
| 1497106272 | The Rio At Conroe, LLC | Skilled Nursing Facility | 604 South Conroe Medical Drive, Conroe, TX 77304 | 2016-06-23 |
| 1093165615 | Melanie Kay Plaster | Behavioral Analyst | 2626 Silver Shadow, Conroe, TX 77304 | 2016-06-14 |
| 1508249798 | Conroe Willis Family Medicine, Pllc | Family Medicine | 4015 I 45 N Ste 220, Conroe, TX 77304 | 2015-07-07 |
| Find all providers in zip 77304 | ||||
| Taxonomy Code | 207KA0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| Specialization | Allergy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770591349 | Advanced Allergy Care | Allergy & Immunology | 100 Medical Center Blvd, #120, Conroe, TX 77304-2888 | 2006-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689148470 | Stephanie Kathrynann Angell | Allergy & Immunology | 415 Downing St, Belton, TX 76513-2049 | 2019-01-15 |
| 1144792615 | Integrated Wellness Clinics Pllc | Allergy & Immunology | 3308 Preston Rd Ste 350-307, Plano, TX 75093-7453 | 2018-12-21 |
| 1073963526 | San Antonio Allergenic and Wellness LLC | Allergy & Immunology | 9023 Huebner Rd, Ste 105, San Antonio, TX 78240-2071 | 2016-06-15 |
| 1629428164 | South Austin Allergy and Wellness LLC | Allergy & Immunology | 11530 Manchaca Rd, Unit 2-a, Austin, TX 78748-2712 | 2016-06-15 |
| 1962896340 | Southwest Hcp Access Pa | Allergy & Immunology | 211 Bartlett Dr, Suite 108, El Paso, TX 79912 | 2015-03-24 |
| 1417377839 | Sasha Ahangama Alvarado | Allergy & Immunology | 623 W Fm 544 Ste 104, Murphy, TX 75094-4587 | 2014-04-24 |
| 1972949048 | Amanda Lewis | Allergy & Immunology | 10607 Quaker Ave Unit 102, Lubbock, TX 79424-8465 | 2013-05-16 |
| 1912343419 | Zachary Wade Marshall | Allergy & Immunology | 205 N Oak St Unit B, Roanoke, TX 76262-7001 | 2013-05-12 |
| 1902241292 | Tr Diagnostic Radiology Management Inc | Allergy & Immunology | 3620 N Josey Ln Ste 116, Carrollton, TX 75007-3151 | 2013-05-01 |
| 1831533157 | U S Allergy Labs, LLC | Allergy & Immunology | 2008 N Navarro St, Ste B, Victoria, TX 77901-4824 | 2013-04-18 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.