Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | M3680 | TX |
N | 207QS0010X | Family Doctor - Sports Medicine | M3680 | TX |
NPI | 1316033418 |
---|---|
Provider Name | Dr. Pradeep Singh Parihar |
First Address | Allen, TX 75013-5544 |
Second Address | Allen, TX 75013-5544 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/10/2006 |
Last Update Date | 06/04/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
184579401 | (05) | TX |