Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RI0011X | Interventional Cardiology | 01048363A | IN |
Y | 207RI0011X | Interventional Cardiology | 036087645 | IL |
NPI | 1043313000 |
---|---|
Provider Name | Dr. Akhtar Parvaiz |
First Address | Burr Ridge, IL 60527-0302 |
Second Address | Chicago, IL 60617-3936 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/09/2006 |
Last Update Date | 28/08/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
036087645 | (05) | IL |
200393630 | (05) | IN |
F59839 | (02) |