Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208100000X | Physical Medicine & Rehabilitation Doctor | D0058812 | MD |
Y | 2081P2900X | Pain Medicine | D0058812 | MD |
NPI | 1124021357 |
---|---|
Provider Name | Dr. Mandip Singh Parmar |
First Address | Salisbury, MD 21804-5940 |
Second Address | Salisbury, MD 21801-5422 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2005 |
Last Update Date | 29/12/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
402908900 | (05) | MD |
BP7770995 | DEA (01) | MD |
H65469 | (02) | MD |