Basic Information
Provider Information
NPI: 1649832213
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: AIYER
FirstName: PALASH
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
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OtherLastName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3333 CALIFORNIA ST # S1-10
Address2:  
City: SAN FRANCISCO
State: CA
PostalCode: 941181981
CountryCode: US
TelephoneNumber: 4158857268
FaxNumber:  
Practice Location
Address1: 1825 4TH ST
Address2:  
City: SAN FRANCISCO
State: CA
PostalCode: 941432350
CountryCode: US
TelephoneNumber: 4154763501
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/03/2019
LastUpdateDate: 07/03/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208G00000XSPI582CAY Allopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery) 

No ID Information.


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