Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207L00000X | Anesthesiologist | 01049823A | IN |
Y | 207L00000X | Anesthesiologist | 35075695 | OH |
N | 207L00000X | Anesthesiologist | 36085851 | IL |
NPI | 1003991969 |
---|---|
Provider Name | Dr. Prabhakar Parsa |
First Address | Columbus, OH 43271-0776 |
Second Address | Lima, OH 45801 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/10/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000141851 | ANTHEM (01) | OH |
2136370 | (05) | OH |
G08421 | (02) |