Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 55372 | KY |
N | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | TP101 | KY |
NPI | 1003369752 |
---|---|
Provider Name | Dr. Parisa Samimi |
First Address | Bowling Green, KY 42101-1708 |
Second Address | Bowling Green, KY 42101-1708 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/07/2016 |
Last Update Date | 11/06/2021 |