MEDICARE: AKHTAR PARVAIZ MD

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	207RI0011X	Interventional Cardiology Physician	036087645	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1730389586
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AKHTAR PARVAIZ MD

Provider Business Mailing Address
First Line	:	106 KRAML DR
Second Line	:
City	:	BURR RIDGE
State	:	IL
Zip	:	60527-0302
Country	:	US
Telephone Number	:	630-887-9626
Fax Number	:

Provider Business Practice Location Address
First Line	:	1951 W 45TH AVE
Second Line	:
City	:	GRIFFITH
State	:	IN
Zip	:	46319-3703
Country	:	US
Telephone Number	:	630-887-9626
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	AKHTAR PARVAIZ
Credential	:	MD
Telephone Number	:	630-887-9626

Provider Enumeration Date	:	07/20/2007
Last Update Date	:	01/06/2009

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