Healthcare Provider Details

I. General information

NPI: 1518122886
Provider Name (Legal Business Name): SUNIL DUTT PARASHAR MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/25/2008
Last Update Date: 06/03/2024
Certification Date: 06/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5039 VILLA LINDE PKWY STE 30
FLINT MI
48532-3450
US

IV. Provider business mailing address

3839 WILD PINE DR
SAGINAW MI
48603-8660
US

V. Phone/Fax

Practice location:
  • Phone: 810-213-8013
  • Fax: 810-213-8014
Mailing address:
  • Phone: 989-583-6800
  • Fax: 989-583-6955

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number4301090538
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number90224
License Number StateGA
# 3
Primary TaxonomyY
Taxonomy Code2084A0401X
TaxonomyAddiction Medicine (Psychiatry & Neurology) Physician
License Number0101272840
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: