Provider Demographics
NPI:1003807983
Name:PARKHIE, SHYAM M (MD)
Entity Type:Individual
Prefix:
First Name:SHYAM
Middle Name:M
Last Name:PARKHIE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 RAMPART WAY
Mailing Address - Street 2:300B
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80230-6440
Mailing Address - Country:US
Mailing Address - Phone:720-343-1562
Mailing Address - Fax:720-343-1563
Practice Address - Street 1:130 RAMPART WAY
Practice Address - Street 2:300B
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80230-6440
Practice Address - Country:US
Practice Address - Phone:720-343-1562
Practice Address - Fax:720-343-1563
Is Sole Proprietor?:No
Enumeration Date:2005-10-31
Last Update Date:2014-04-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO47564207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
017369I06Medicare ID - Type Unspecified
I33446Medicare UPIN