Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080A0000X | Adolescent Medicine | 0101026555 | VA |
NPI | 1194785832 |
---|---|
Provider Name | Dr. Parmod Kumar Sapra |
First Address | Norton, VA 24273-1600 |
Second Address | Norton, VA 24273-1600 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/03/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
6758762 | (05) | VA |
B08883 | (02) | VA |