MEDICARE: PARNA SHENOY 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	207W00000X	Ophthalmology Physician	ME86175	FL

General Provider Information

NPI Number	:	1750329330
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PARNA SHENOY MD

Provider Business Mailing Address
First Line	:	1560 MATTHEW DR
Second Line	:	SUITE G
City	:	FORT MYERS
State	:	FL
Zip	:	33907-1702
Country	:	US
Telephone Number	:	239-278-4733
Fax Number	:	239-278-4730

Provider Business Practice Location Address
First Line	:	1560 MATTHEW DR
Second Line	:	SUITE G
City	:	FORT MYERS
State	:	FL
Zip	:	33907-1702
Country	:	US
Telephone Number	:	239-278-4733
Fax Number	:	239-278-4730

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

Provider Enumeration Date	:	06/03/2006
Last Update Date	:	05/20/2008

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