Basic Information
Provider Information | |||||||||
NPI: | 1942409289 | ||||||||
EntityType: | 1 | ||||||||
ReplacementNPI: |   | ||||||||
OrganizationName: |   | ||||||||
LastName: | PARASHAR | ||||||||
FirstName: | SUDHA | ||||||||
MiddleName: |   | ||||||||
NamePrefix: |   | ||||||||
NameSuffix: |   | ||||||||
Credential: | M.D. | ||||||||
OtherOrganizationName: |   | ||||||||
OtherOrganizationType: |   | ||||||||
OtherLastName: | PARASHAR | ||||||||
OtherFirstName: | SUDHA | ||||||||
OtherMiddleName: |   | ||||||||
OtherNamePrefix: |   | ||||||||
OtherNameSuffix: |   | ||||||||
OtherCredential: | MD | ||||||||
OtherLastNameType: | 2 | ||||||||
Mailing Information | |||||||||
Address1: | 400 E MAIN ST | ||||||||
Address2: | NORTHERN WESTCHESTER HOSPITAL, ATTN: MEDICAL AFFAIRS | ||||||||
City: | MOUNT KISCO | ||||||||
State: | NY | ||||||||
PostalCode: | 105493417 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 9146661200 | ||||||||
FaxNumber: | 9146661965 | ||||||||
Practice Location | |||||||||
Address1: | 400 E MAIN ST | ||||||||
Address2: | NORTHERN WESTCHESTER HOSPITAL | ||||||||
City: | MOUNT KISCO | ||||||||
State: | NY | ||||||||
PostalCode: | 105493417 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 9146661200 | ||||||||
FaxNumber: | 9146661973 | ||||||||
Other Information | |||||||||
ProviderEnumerationDate: | 07/17/2007 | ||||||||
LastUpdateDate: | 03/28/2013 | ||||||||
NPIDeactivationReasonCode: |   | ||||||||
NPIDeactivationDate: |   | ||||||||
NPIReactivationDate: |   | ||||||||
ProviderGenderCode: | F | ||||||||
AuthorizedOfficialLastName: |   | ||||||||
AuthorizedOfficialFirstName: |   | ||||||||
AuthorizedOfficialMiddleName: |   | ||||||||
AuthorizedOfficialTitleorPosition: |   | ||||||||
AuthorizedOfficialTelephone: |   | ||||||||
IsSoleProprietor: | N | ||||||||
IsOrganizationSubpart: |   | ||||||||
ParentOrganizationLBN: |   | ||||||||
AuthorizedOfficialNamePrefix: |   | ||||||||
AuthorizedOfficialNameSuffix: |   | ||||||||
AuthorizedOfficialCredential: |   | ||||||||
NPICertificationDate: |   |
Taxonomy Information
Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208000000X | 244829 | NY | Y |   | Allopathic & Osteopathic Physicians | Pediatrics |   |
ID Information
ID | Type | State | Issuer | Description | 7589954 | 01 | NY | AETNAPPO PIN# | OTHER | 000000120750 | 01 | NY | GHI HMO PIN # | OTHER | 1591270 | 01 | NY | AETNAHMO PIN | OTHER | 6007527 | 01 | NY | MVP PIN# | OTHER | 8B7691 | 01 | NY | EMPIRE BC/BS | OTHER |