Basic Information
Provider Information
NPI: 1568510220
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PARMAR
FirstName: PERMINDER
MiddleName: S.
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 10666 N TORREY PINES RD
Address2: MS 212
City: LA JOLLA
State: CA
PostalCode: 920371027
CountryCode: US
TelephoneNumber: 8585548964
FaxNumber: 8585546971
Practice Location
Address1: 10666 N TORREY PINES RD
Address2: MS 212
City: LA JOLLA
State: CA
PostalCode: 920371027
CountryCode: US
TelephoneNumber: 8585548964
FaxNumber: 8585546971
Other Information
ProviderEnumerationDate: 01/08/2007
LastUpdateDate: 07/14/2011
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Y00000XA115359CAY Allopathic & Osteopathic PhysiciansOtolaryngology 
207Y00000X234896NYN Allopathic & Osteopathic PhysiciansOtolaryngology 

No ID Information.


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