Healthcare Provider Details

I. General information

NPI: 1831698877
Provider Name (Legal Business Name): NADIA PARSAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/05/2018
Last Update Date: 02/27/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3401 PINE ST
HIGGINSVILLE MO
64037-1877
US

IV. Provider business mailing address

3401 PINE ST
HIGGINSVILLE MO
64037-1877
US

V. Phone/Fax

Practice location:
  • Phone: 660-584-2192
  • Fax:
Mailing address:
  • Phone: 646-359-2706
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0000X
TaxonomyAdolescent Medicine (Family Medicine) Physician
License Number2017037289
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: