MEDICARE: MR. RASIK B PARMAR MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0400X	Neurology Physician	MD044795E	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	605590LP2	OTHER	PA	BLUE SHIELD IND
2	01068108	OTHER	PA	IND BLUE CROSS KEYSTONE
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	02298000	OTHER	PA	GROUP BLUE CROSS KEYSTONE
6	870198	OTHER	PA	BLUE SHIELD GROUP

General Provider Information

NPI Number	:	1144288721
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. RASIK B PARMAR MD

Provider Business Mailing Address
First Line	:	310 SOUTH MAIN ST
Second Line	:	PO BOX 430
City	:	YEAGERTOWN
State	:	PA
Zip	:	17099
Country	:	US
Telephone Number	:	717-242-6330
Fax Number	:	717-242-5904

Provider Business Practice Location Address
First Line	:	310 SOUTH MAIN ST
Second Line	:
City	:	YEAGERTOWN
State	:	PA
Zip	:	17099
Country	:	US
Telephone Number	:	717-242-6330
Fax Number	:	717-242-5904

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/03/2006
Last Update Date	:	04/06/2010

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