MR. PRANEET SIVARAMAKRISHNAN IYER (NPI# 1023435609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023435609 |
| Entity Type | Individual |
| Full Name | MR. PRANEET SIVARAMAKRISHNAN IYER |
| Credential | MD |
| Practice Address |
401 Southcrest Cir Ste 212 Southaven MS 38671-6721 |
| Mailing Address |
6025 Walnut Grove Rd Ste 508 Memphis TN 38120-2125 |
| Practice Telephone | 6623490488 |
| Practice Fax Number | 6623495974 |
| Mailing Telephone | 9017675864 |
| Mailing Fax Number | 9017676591 |
| Enumeration Date | 2014-03-21 |
| Last Update Date | 2020-08-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
26606 | MS | Allopathic & Osteopathic Physicians |
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
58828 | TN | Allopathic & Osteopathic Physicians |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
58828 | TN | Allopathic & Osteopathic Physicians |
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
26606 | MS | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6025 Walnut Grove Rd Ste 508, Memphis, TN 381202125 | 9017675864 | 9017676591 |
| Street Address |
401 SOUTHCREST CIR STE 212 |
| City | SOUTHAVEN |
| State | MS |
| Zip Code | 38671-6721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134393473 | Yadana Kyaw | Internal Medicine | 401 Southcrest Cir Ste 212, Southaven, MS 38671 | 2008-04-17 |
| 1467051029 | Katrina Marie Blackard | Nurse Practitioner | 401 Southcrest Cir Ste 212, Southaven, MS 38671-6721 | 2020-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285196196 | Emma Tinsley-bowles Long | Social Worker | 8786 Northcreek Blvd, Bldg 8 Apt 3, Southaven, MS 38671 | 2019-04-01 |
| 1851847586 | Tiffany Lashea Jones | Adult Companion | 8755 Millbranch Road, Southaven, MS 38671 | 2016-09-01 |
| 1538526140 | Desoto Pediatric Extended Care LLC | Skilled Nursing Facility | 750 Stateline Road East, Southhaven, MS 38671 | 2016-01-27 |
| 1073983052 | Tara Burt | Physical Therapist | 7900 Airways Blvd. Building A, Suite 2, Southaven, MS 38671 | 2015-10-02 |
| 1295160463 | Ideal Community Care,llc | In Home Supportive Care | 8869 Centre Str #3, Southaven, MS 38671 | 2013-09-06 |
| 1578995692 | Gregory Charles Eakins Jr. | Optometrist | 338 Goodman Rd West, Southaven, MS 38671 | 2013-07-31 |
| 1295173169 | Erica R. Martin | Social Worker | 975 Swinnea Rdg Ste 3, Southaven, MS 38671 | 2013-06-12 |
| 1386918431 | Freds Stores of Tennessee Inc | Pharmacy | 710 Church Road, Southaven, MS 38671 | 2012-03-06 |
| 1740565613 | Mary Jeanette Scruggs | Pharmacist | 1011 Goodman Rd, Southaven, MS 38671 | 2011-10-11 |
| 1184919268 | First Pharmacy Services 5 | Pharmacy | 5185a Getwell Rd, Southaven, MS 38671 | 2011-06-16 |
| Find all providers in zip 38671 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134393473 | Yadana Kyaw | Internal Medicine | 401 Southcrest Cir Ste 212, Southaven, MS 38671 | 2008-04-17 |
| 1669602603 | Rajeev Gupta | Internal Medicine | 401 Southcrest Cir, Suite 212, Southaven, MS 38671-6726 | 2009-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447450622 | Jennifer R Gardner | Internal Medicine | 2301 South Lamar, Suite 100, Oxford, MS 38655 | 2007-07-25 |
| 1689870479 | George H Kotti IIi | Internal Medicine | 301 Fisher St Ste 1f-130, Keesler Afb, MS 39534-2508 | 2007-06-27 |
| 1730306192 | J. L. Miles,do Sleep Lab | Internal Medicine | 2705 Hwy 90, Ocean Springs, MS 39564 | 2007-04-19 |
| 1205050408 | J. L. Miles, Do Sleep Lab | Internal Medicine | 779 Jackson St, Biloxi, MS 39530-4231 | 2007-04-12 |
| 1770706863 | Felix Morris M.d., LLC | Internal Medicine | 1777 Curtis Drive, Iuka, MS 38852 | 2007-04-10 |
| 1508914102 | Oxford Lung Physicians, P.a. | Internal Medicine | 2301 S Lamar Blvd Ste 100, 2301 S Lamar Blvd Ste 100, Oxford, MS 38655-5373 | 2007-01-08 |
| 1760564660 | William Thomas Williams Jr. | Internal Medicine | 1200 N State St Ste 500, Jackson, MS 39202-2027 | 2006-10-19 |
| 1447357652 | Gulf Coast Lung and Sleep Medicine Institute, LLC | Internal Medicine | 16120 Landon Rd, Suite B, Gulfport, MS 39503-6119 | 2006-09-20 |
| 1053414326 | Jeffrey Neal Evans | Internal Medicine | 2301 South Lamar Blvd Suite 100, 2301 South Lamar Blvd Suite 100, Oxford, MS 38655-0768 | 2006-09-05 |
| 1881615995 | Brodie Wayne Mcalpin Jr. | Internal Medicine | 209 N Harper Rd, Corinth, MS 38834-5271 | 2006-07-22 |
| 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.