Basic Information
| Provider Information | |||||||||
| NPI: | 1720382690 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | PARANJPE | ||||||||
| FirstName: | PARAG | ||||||||
| MiddleName: | WASUDEO | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 410 E 74TH ST APT 4C | ||||||||
| Address2: | |||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100213918 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3055829725 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 622 W 168TH ST | ||||||||
| Address2: | SUITE 137 | ||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100323720 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2123052995 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 01/06/2011 | ||||||||
| LastUpdateDate: | 11/29/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 11/29/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | A115358 | CA | N | Allopathic & Osteopathic Physicians | Emergency Medicine | 207P00000X | 260575 | NY | Y | Allopathic & Osteopathic Physicians | Emergency Medicine | 207P00000X | 257080 | CT | N | Allopathic & Osteopathic Physicians | Emergency Medicine |
No ID Information.