Vasundhara G Iyengar, M. D.

Primary specialty

Medical Oncology PhysicianTaxonomy code 207RX0202X

License

ME0044726 Issued in FL

Practice address

1920 Don Wickham Dr Ste 100
Clermont, FL 34711-1977

Phone

(352) 394-1150

Fax

(352) 394-1560

NPI assigned

Apr 20, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Orlando Cancer Center Inc

  • Medical Oncology Physician
  • Orlando, FL
  • NPI 1578510582

  Hematology & Oncology

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636761600000",
    "number": "1770548679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4371 VERONICA S SHOEMAKER BLVD",
            "address_2": "ATTN: CREDENTIAL DEPARTMENT",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339162216",
            "telephone_number": "239-274-8200",
            "fax_number": "239-278-3350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 DON WICKHAM DR STE 100",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347111977",
            "telephone_number": "352-394-1150",
            "fax_number": "352-394-1560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IYENGAR",
        "first_name": "VASUNDHARA",
        "middle_name": "G",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-20",
        "last_updated": "2021-11-13",
        "certification_date": "2021-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology",
            "state": "FL",
            "license": "ME0044726",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "FL",
            "license": "ME0044726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "040458600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nancy Isidor
• Demetrius Isom
• Leah Isom, LMHC
• Sharisse Lin Ivory, APRN
• Meera Gopal Iyengar, MD
• J & J Pathways Inc
• David H Jablonski, M.D.
• Arlene P Jackman
• Donna Yvonne Jackson Sharpe, FNP
• Charelle Jackson

• Medical Oncology Physician in Clermont, FL
• Providers in Clermont, FL by specialty
• Medical Oncology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.