Healthcare Provider Details

I. General information

NPI: 1568412526
Provider Name (Legal Business Name): HARSHADRAI K PARMAR M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: HARSHAD PARMAR M.D.

II. Dates (important events)

Enumeration Date: 05/11/2006
Last Update Date: 01/28/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1813 WILLOW ST
VINCENNES IN
47591-4276
US

IV. Provider business mailing address

1813 WILLOW ST
VINCENNES IN
47591-4276
US

V. Phone/Fax

Practice location:
  • Phone: 812-882-0894
  • Fax:
Mailing address:
  • Phone: 812-882-0894
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number01040692A
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License Number01040692A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: