Healthcare Provider Details

I. General information

NPI: 1043586621
Provider Name (Legal Business Name): PARVEZ M LOKHANDWALA MD, PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2012
Last Update Date: 07/11/2024
Certification Date: 07/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22 S GREENE ST
BALTIMORE MD
21201-1544
US

IV. Provider business mailing address

250 W PRATT ST STE 900
BALTIMORE MD
21201-6808
US

V. Phone/Fax

Practice location:
  • Phone: 410-328-5555
  • Fax:
Mailing address:
  • Phone: 410-328-5555
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207ZB0001X
TaxonomyBlood Banking & Transfusion Medicine Physician
License NumberD82856
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code207ZC0006X
TaxonomyClinical Pathology Physician
License NumberD82856
License Number StateMD
# 3
Primary TaxonomyY
Taxonomy Code207ZP0007X
TaxonomyMolecular Genetic Pathology (Pathology) Physician
License NumberD82856
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: