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IYENGAR PLASTIC SURGERY PLLC
NPI 1104668508
Surgery - Plastic and Reconstructive Surgery in Puyallup, WA

Active since June 07, 2024
4210 10TH ST SE, PUYALLUP, WA 98374(253) 840-5397 Get Directions Write a Review

NPPES record last updated: June 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Iyengar Plastic Surgery Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IYENGAR PLASTIC SURGERY PLLC (NPI 1104668508) is a healthcare organization registered as a plastic and reconstructive surgery in Puyallup, Washington and active in the NPI registry since June 2024. The organization lists Vidya Iyengar, Ceo, as its authorized official.

NPPES Registry Identity

NPI1104668508
Entity TypeOrganization
Primary Taxonomy2086S0122X
Legal Business NameIYENGAR PLASTIC SURGERY PLLC
Location Address4210 10TH ST SEPuyallup, WA 98374-2191
Mailing AddressPo Box 731689Puyallup, WA 98373-0017 · (253) 840-5397
Phone(253) 840-5397
Organization SubpartNo
Authorized OfficialVidya IyengarCeo · (253) 840-5397
Enumeration DateJune 7, 2024
NPPES CertifiedJune 7, 2024
✔ NPI 1104668508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
Definition
A surgeon who specializes in plastic and reconstructive surgery.
4210 10TH ST SE, Puyallup, WA 98374
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RAJIV JAISIMHA IYENGAR MD
Surgery (Plastic and Reconstructive Surgery)
4210 10TH ST SE
PUYALLUP, WA 98374
Pierce County (253) 840-5397

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Iyengar Plastic Surgery PLLC's NPI number?

The NPI number for Iyengar Plastic Surgery PLLC is 1104668508. It was assigned to this organization in the NPPES registry on June 7, 2024.

Where is Iyengar Plastic Surgery PLLC located?

Iyengar Plastic Surgery PLLC is located at 4210 10th St SE, Puyallup, WA 98374. The listed phone number is (253) 840-5397.

What is Iyengar Plastic Surgery PLLC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

When was this NPI record last updated?

The NPPES record for Iyengar Plastic Surgery PLLC was last updated on June 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.