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NPI Code Detail

MEDICARE: PARVIN CHRISTINE DOROSTKAR MD

MEDICARE: PARVIN CHRISTINE DOROSTKAR 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
12080P0203XPediatric Critical Care Medicine Physician2008-01935NC
22080P0203XPediatric Critical Care Medicine Physician51342MN
32080P0203XPediatric Critical Care Medicine Physician0101268705VA
42080P0203XPediatric Critical Care Medicine Physician17000NV
52080P0203XPediatric Critical Care Medicine Physician330391LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12147493OTHERANTHEM
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1962412056
Entity Type Code : Individual
Provider Name (Legal Business Name) : PARVIN CHRISTINE DOROSTKAR MD
Provider Business Mailing Address
First Line : 200 HENRY CLAY AVE
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70118-5798
Country : US
Telephone Number : 504-899-9511
Fax Number :
Provider Business Practice Location Address
First Line : 200 HENRY CLAY AVE
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70118-5798
Country : US
Telephone Number : 504-899-9511
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2006
Last Update Date : 06/01/2023

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Directions to “ PARVIN CHRISTINE DOROSTKAR MD” Practice Location

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