Basic Information
Provider Information
NPI: 1144749490
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PARWANA
FirstName: VIKRAM
MiddleName: SINGH
NamePrefix:  
NameSuffix:  
Credential: RN
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2412 SW 156TH AVE
Address2:  
City: MIRAMAR
State: FL
PostalCode: 330274275
CountryCode: US
TelephoneNumber: 7865549829
FaxNumber:  
Practice Location
Address1: 2950 CLEVELAND CLINIC BLVD
Address2:  
City: WESTON
State: FL
PostalCode: 333313609
CountryCode: US
TelephoneNumber: 9546895000
FaxNumber:  
Other Information
ProviderEnumerationDate: 09/18/2017
LastUpdateDate: 09/18/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163W00000X9356896FLY Nursing Service ProvidersRegistered Nurse 

No ID Information.


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