MEDICARE: MR. PARMBIR SINGH VIRK M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program
2	207R00000X	Internal Medicine Physician	75257	AZ

General Provider Information

NPI Number	:	1346986247
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. PARMBIR SINGH VIRK M.D.

Provider Business Mailing Address
First Line	:	5263 S HIGHWAY 95
Second Line	:
City	:	FORT MOHAVE
State	:	AZ
Zip	:	86426-9223
Country	:	US
Telephone Number	:	928-704-6400
Fax Number	:

Provider Business Practice Location Address
First Line	:	5263 S HIGHWAY 95
Second Line	:
City	:	FORT MOHAVE
State	:	AZ
Zip	:	86426-9223
Country	:	US
Telephone Number	:	928-704-6400
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/12/2022
Last Update Date	:	10/21/2025

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