MEDICARE: PARSLEY MEDICAL GROUP FL PA

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	208D00000X	General Practice Physician

General Provider Information

NPI Number	:	1407613862
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PARSLEY MEDICAL GROUP FL PA

Provider Business Mailing Address
First Line	:	126 5TH AVE FL 2
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10011-5631
Country	:	US
Telephone Number	:	833-447-2775
Fax Number	:	323-307-7140

Provider Business Practice Location Address
First Line	:	500 N MICHIGAN AVE STE 536
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60611-3755
Country	:	US
Telephone Number	:	833-447-2775
Fax Number	:	323-307-7140

Authorized Official
Title or Position	:	PRESIDENT
Name	:	SABA HAQ
Credential	:	MD
Telephone Number	:	949-463-0650

Provider Enumeration Date	:	03/04/2024
Last Update Date	:	10/14/2024

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