Healthcare Provider Details

I. General information

NPI: 1174202642
Provider Name (Legal Business Name): PARSHANT RAI
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/12/2023
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 EAST 233 STREET
BRONX NY
10466
US

IV. Provider business mailing address

3451 KNOX PL APT 1D
BRONX NY
10467-2060
US

V. Phone/Fax

Practice location:
  • Phone: 718-920-9892
  • Fax: 718-920-9036
Mailing address:
  • Phone: 929-607-6354
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number1028276
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: