Healthcare Provider Details

I. General information

NPI: 1205051968
Provider Name (Legal Business Name): VIKRAM S PARMAR MD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/16/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1233 WAYNE GILMORE CIRCLE SUITE 250-A
OPELOUSAS LA
70570
US

IV. Provider business mailing address

1233 WAYNE GILMORE CIRCLE SUITE 250-A
OPELOUSAS LA
70570
US

V. Phone/Fax

Practice location:
  • Phone: 337-948-8556
  • Fax: 337-948-6881
Mailing address:
  • Phone: 337-948-8556
  • Fax: 337-948-6881

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number200088
License Number StateLA

VIII. Authorized Official

Name: DR. VIKRAM S PARMAR
Title or Position: PHYSICIAN
Credential: MD
Phone: 337-948-8556