MEDICARE: DR. PRIYA PARASHER D.D.S

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	1223G0001X	General Practice Dentistry	23070	TX
2	1223G0001X	General Practice Dentistry	50-051011	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	23070	OTHER	TX	LICENSE NUMBER
2	50-051011	OTHER	NY	LICENSE

General Provider Information

NPI Number	:	1588869002
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PRIYA PARASHER D.D.S

Provider Business Mailing Address
First Line	:	50 W 72ND ST
Second Line	:	APT 1701
City	:	NEW YORK
State	:	NY
Zip	:	10023-4199
Country	:	US
Telephone Number	:	281-788-6880
Fax Number	:

Provider Business Practice Location Address
First Line	:	11550 GULF FWY
Second Line	:	STE F
City	:	HOUSTON
State	:	TX
Zip	:	77034-3530
Country	:	US
Telephone Number	:	713-947-0000
Fax Number	:	179-947-3555

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

Provider Enumeration Date	:	06/15/2007
Last Update Date	:	11/21/2011

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