Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 47564 | CO |
NPI | 1003807983 |
---|---|
Provider Name | Shyam M Parkhie |
First Address | Denver, CO 80230-6440 |
Second Address | Denver, CO 80230-6440 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/10/2005 |
Last Update Date | 23/04/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I33446 | (02) |