Healthcare Provider Details

I. General information

NPI: 1043284987
Provider Name (Legal Business Name): PARVEZ MASOOD MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/16/2006
Last Update Date: 01/22/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9500 EUCLID AVE NEURORADIOLOGY/IMAGING INSTITUTE, CLEVELAND CLINIC
CLEVELAND OH
44195-0001
US

IV. Provider business mailing address

9500 EUCLID AVE NEURORADIOLOGY/IMAGING INSTITUTE, CLEVELAND CLINIC
CLEVELAND OH
44195-0001
US

V. Phone/Fax

Practice location:
  • Phone: 216-444-1084
  • Fax:
Mailing address:
  • Phone: 216-444-1084
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License NumberMD426682
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code2085D0003X
TaxonomyDiagnostic Neuroimaging (Radiology) Physician
License Number35.089287
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberMD426682
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: