Healthcare Provider Details

I. General information

NPI: 1821084534
Provider Name (Legal Business Name): DINESH C PARMAR MD
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 09/27/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

355 S 2ND ST
GADSDEN AL
35901-5202
US

IV. Provider business mailing address

355 S 2ND ST
GADSDEN AL
35901-5202
US

V. Phone/Fax

Practice location:
  • Phone: 256-547-0536
  • Fax: 256-547-8703
Mailing address:
  • Phone: 256-547-0536
  • Fax: 256-547-8703

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number7992
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: