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General NPI Number Information
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NPI Number | 1235121013
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Entity Type | Individual
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Provider Name | NADEEM D PARKAR MD
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Gender | Male
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Dates
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Enumeration Date | 08/18/2005
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Last Update Date | 07/20/2012
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Provider Practice Location Address
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Address Line | 3635 VISTA AT GRAND RADIOLOGY DEPT - SLUH
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City | SAINT LOUIS
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State | MO
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Zip | 63110-0250
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Country | US
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Telephone | 314-268-5782
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Fax | 314-268-5116
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Provider Business Mailing Address
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Address Line | 3635 VISTA AT GRAND RADIOLOGY DEPT - SLUH
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City | SAINT LOUIS
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State | MO
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Zip | 63110-0250
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Country | US
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Telephone | 314-268-5782
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Fax | 314-268-5116
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 119542
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 2085B0100X
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Taxonomy Name | Body Imaging Physician
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License Number | MO0119542
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 2085P0229X
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Taxonomy Name | Pediatric Radiology Physician
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License Number | MO0119542
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License Number State | MO
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Taxonomy #4
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 119542
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License Number State | MO
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Taxonomy #5
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Taxonomy Code | 2085U0001X
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Taxonomy Name | Diagnostic Ultrasound Physician
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License Number | MO0119542
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License Number State | MO
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