Healthcare Provider Details

I. General information

NPI: 1205147105
Provider Name (Legal Business Name): NIRBHAY PARASHAR MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2010
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1535 VANN DR
JACKSON TN
38305-2095
US

IV. Provider business mailing address

1535 VANN DR
JACKSON TN
38305-2095
US

V. Phone/Fax

Practice location:
  • Phone: 731-984-9944
  • Fax: 731-215-6995
Mailing address:
  • Phone: 731-984-9944
  • Fax: 731-215-6995

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberE-16440
License Number StateAR
# 2
Primary TaxonomyY
Taxonomy Code2080P0202X
TaxonomyPediatric Cardiology Physician
License Number56170
License Number StateTN
# 3
Primary TaxonomyN
Taxonomy Code2080P0202X
TaxonomyPediatric Cardiology Physician
License NumberE-16440
License Number StateAR
# 4
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number94-07493
License Number StateKS
# 5
Primary TaxonomyN
Taxonomy Code2080P0202X
TaxonomyPediatric Cardiology Physician
License Number036133202
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: