Healthcare Provider Details

I. General information

NPI: 1336522952
Provider Name (Legal Business Name): DEEPIKA PARMAR M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2015
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11071 HAUSER ST STE 4B
LENEXA KS
66210-3708
US

IV. Provider business mailing address

11071 HAUSER ST
LENEXA KS
66210-3708
US

V. Phone/Fax

Practice location:
  • Phone: 913-513-4441
  • Fax:
Mailing address:
  • Phone: 913-513-4441
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080A0000X
TaxonomyPediatric Adolescent Medicine Physician
License NumberA146287
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code2080A0000X
TaxonomyPediatric Adolescent Medicine Physician
License Number04-52069
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: