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
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208000000X244829NYY Allopathic & Osteopathic PhysiciansPediatrics 

ID Information
IDTypeStateIssuerDescription
758995401NYAETNAPPO PIN#OTHER
00000012075001NYGHI HMO PIN #OTHER
159127001NYAETNAHMO PINOTHER
600752701NYMVP PIN#OTHER
8B769101NYEMPIRE BC/BSOTHER


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