VASUNDHARA G IYENGAR (NPI# 1770548679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770548679 |
| Entity Type | Individual |
| Full Name | VASUNDHARA G IYENGAR |
| Credential | M. D. |
| Practice Address |
1400 N Us Highway 441 Ste 552 Lady Lake FL 32159-8975 |
| Mailing Address |
4371 Veronica S Shoemaker Blvd Attn: Credential Department Fort Myers FL 33916-2216 |
| Practice Telephone | 3527539780 |
| Practice Fax Number | 3527539781 |
| Mailing Telephone | 2392748200 |
| Mailing Fax Number | 2392783350 |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2012-05-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
ME0044726 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | RR MEDICARE | P00965117 | 01 |
| FL | 040458600 | 05 |
| Street Address |
1400 N US HIGHWAY 441 STE 552 |
| City | LADY LAKE |
| State | FL |
| Zip Code | 32159-8975 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003282492 | Florida Cancer Specialists & Research Institute, LLC | Internal Medicine | 1400 N Us Highway 441, Suite 540, Lady Lake, FL 32159-8987 | 2015-08-19 |
| 1093058901 | Florida Cancer Specialists P L | Internal Medicine | 1400 N Us Highway 441, Building 920, Lady Lake, FL 32159-8975 | 2013-03-28 |
| 1033455795 | Maria Pilar Czupryn | Nurse Practitioner | 1400 N Us Highway 441, Suite 552, Lady Lake, FL 32159-8975 | 2012-12-27 |
| 1821353350 | Jane Johansson | Nurse Practitioner | 1400 N Us Highway 441, Suite 552, Lady Lake, FL 32159-8975 | 2012-07-11 |
| 1073895439 | Alexzandria Dwan Marotta | Nurse Practitioner | 1400 N Us Highway 441, Suite 552, Lady Lake, FL 32159-8975 | 2011-09-12 |
| 1023306107 | Florida Cancer Specialists P L | Internal Medicine | 1400 N Us Highway 441, Suite 552, Lady Lake, FL 32159-8987 | 2011-07-11 |
| 1699095349 | Dr. James A. Scott D.c., Inc. | Chiropractor | 1400 N Us Highway 441, 530, Lady Lake, FL 32159-8975 | 2010-06-04 |
| 1457476806 | James A Scott | Chiropractor | 1400 N Us Highway 441, Suite 530, Lady Lake, FL 32159-8975 | 2007-03-21 |
| 1407922735 | The Villages Rehabilitation Services LLC | Clinic/Center | 1400 N Us Highway 441, Building 800, Suite 830, Lady Lake, FL 32159-8975 | 2006-11-28 |
| 1316041064 | Jennifer Lyn Cultrera | Internal Medicine | 1400 N Us Highway 441, Suite 540, Lady Lake, FL 32159-8975 | 2006-09-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306451216 | Lindsey Porubcan | Physician Assistant | 990 South Us Highway 441/27, Lady Lake, FL 32159 | 2020-09-09 |
| 1073134979 | Michael Robert Frates | Dietitian, Registered | 900 Cr 466, Lady Lake, FL 32159 | 2020-05-01 |
| 1346800364 | Barbara Conrad | Social Worker | 906 Orchid Street, Lady Lake, FL 32159 | 2019-06-20 |
| 1962977165 | Curelogics Wound Care and Hyperbaric LLC | Registered Nurse | 809 County Road 466, Unit C-201, Lady Lake, FL 32159 | 2018-10-04 |
| 1346736907 | Caroline Butler | Physician Assistant | 805 E. Cr 466, Lady Lake, FL 32159 | 2018-07-06 |
| 1033609607 | Cyrus Immanuel Macalisang Doroy | Physical Therapist | 6340 County Rd 466, Suite 733, Lady Lake, FL 32159 | 2018-05-18 |
| 1962999680 | Sharma Institute of Pain Medicine | Physical Medicine & Rehabilitation | 1501 Us Hwy 441, Villages, FL 32159 | 2018-04-18 |
| 1538683198 | Cathleen Laurel Civiello | Psychologist | 929 H. Hwy 441, Suite 404, Lady Lake, FL 32159 | 2017-07-26 |
| 1649709015 | Adria Young | Optometrist | 801 Cr 466, Suite 102 Sunset Plaza, Lady Lake, FL 32159 | 2017-06-08 |
| 1891222527 | Center for Hope and Healing, LLC | Social Worker | 804 Hwy 466, Lady Lake, FL 32159 | 2017-05-12 |
| Find all providers in zip 32159 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639456692 | Pain and Spine Centers of Florida LLC | Internal Medicine | 800 County Road 466, Lady Lake, FL 32159 | 2011-11-04 |
| 1316041064 | Jennifer Lyn Cultrera | Internal Medicine | 1400 N Us Highway 441, Suite 540, Lady Lake, FL 32159-8975 | 2006-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194343210 | Jayaben Patel | Internal Medicine | 11818 Shire Wycliffe Ct, Tampa, FL 33626-3329 | 2020-07-07 |
| 1922628833 | Heme Onc Call, LLC | Internal Medicine | 5825 Sw 117th St, Pinecrest, FL 33156-5007 | 2020-04-21 |
| 1457851552 | Yvette M Herrington | Internal Medicine | 425 S Parsons Ave Ste 101, Brandon, FL 33511-5290 | 2018-02-15 |
| 1104360221 | Mid Florida Hematology and Oncology Centers Pa | Internal Medicine | 658 Oviedo Medical Drive, Oviedo, FL 32765 | 2016-12-08 |
| 1225424369 | Florence Arnold | Internal Medicine | 3830 Bee Ridge Rd Ste 301, Sarasota, FL 34233 | 2015-04-15 |
| 1073901187 | Edward Mcaloon | Internal Medicine | 108 Homeport Dr, Palm Harbor, FL 34683-5409 | 2014-12-26 |
| 1063818235 | Barry M. Krein | Internal Medicine | 4220 Careywood Dr, Melbourne, FL 32934-7679 | 2014-11-14 |
| 1912311630 | David Longacre | Internal Medicine | 2439 Weymouth Dr, Clearwater, FL 33764-6556 | 2014-06-20 |
| 1508270778 | Gerard Chaaya | Internal Medicine | 4306 Alton Rd Fl 3, Miami Beach, FL 33140-2840 | 2014-06-16 |
| 1982026670 | Mid Florida Hematology and Oncology Centers Pa | Internal Medicine | 2100 W 1st St, Sanford, FL 32771-1603 | 2014-01-14 |
| Find all providers with the same taxonomy | ||||
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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.