Basic Information
Provider Information
NPI: 1972730703
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PARNERKAR
FirstName: VAISHNAVI
MiddleName: AMIT
NamePrefix: DR.
NameSuffix:  
Credential: M.D
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: PARNERKAR
OtherFirstName: VAISHNAVI
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential: M.D
OtherLastNameType: 5
Mailing Information
Address1: 303 E NICOLLET BLVD
Address2: SUITE 200
City: BURNSVILLE
State: MN
PostalCode: 553374522
CountryCode: US
TelephoneNumber: 9524604000
FaxNumber:  
Practice Location
Address1: 303 E NICOLLET BLVD
Address2: SUITE 200
City: BURNSVILLE
State: MN
PostalCode: 553374522
CountryCode: US
TelephoneNumber: 9524604000
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/19/2009
LastUpdateDate: 05/05/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X54970MNY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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