Basic Information
Provider Information
NPI: 1093716953
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PARVEZ
FirstName: YASMIN
MiddleName:  
NamePrefix: MRS.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 396 RUTLEDGE CT
Address2:  
City: PERRYSBURG
State: OH
PostalCode: 435515201
CountryCode: US
TelephoneNumber: 4198723466
FaxNumber:  
Practice Location
Address1: 410 BIRCHARD AVE
Address2:  
City: FREMONT
State: OH
PostalCode: 434202967
CountryCode: US
TelephoneNumber: 4193343869
FaxNumber: 4193348619
Other Information
ProviderEnumerationDate: 08/02/2005
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: X
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000X35077204OHY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


Home