Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Iyengar Plastic Surgery PLLC

Organization Plastic and Reconstructive Surgery Physician · NPI 1104668508

Iyengar Plastic Surgery PLLC is a Plastic and Reconstructive Surgery Physician in Puyallup, Washington. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4210 10th St SE
Puyallup, WA 98374-2191
Phone: (253) 840-5397
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X

Record details

NPI number1104668508
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Vidya Iyengar — Ceo · (253) 840-5397
NPI enumeratedJune 7, 2024
Last updated in NPPESJune 7, 2024
Certification dateJune 7, 2024
Mailing addressPo Box 731689, Puyallup, WA 98373-0017

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