Healthcare Provider Details

I. General information

NPI: 1932487006
Provider Name (Legal Business Name): ADITI PARASHAR M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/23/2011
Last Update Date: 08/17/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

202 N 8TH ST IMPERIAL COUNTY BEHAVIORAL HEALTH SERVICES
EL CENTRO CA
92243-2302
US

IV. Provider business mailing address

202 N 8TH ST IMPERIAL COUNTY BEHAVIORAL HEALTH SERVICES
EL CENTRO CA
92243-2302
US

V. Phone/Fax

Practice location:
  • Phone: 442-265-1570
  • Fax: 442-265-1583
Mailing address:
  • Phone: 442-265-1570
  • Fax: 442-265-1583

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License NumberA139276
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number278645
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: