Provider Demographics
NPI:1033165899
Name:PARHAM, DAVID MARION III (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:MARION
Last Name:PARHAM
Suffix:III
Gender:M
Credentials:MD
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Mailing Address - Street 1:3701 WILSHIRE BLVD STE 600
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90010-2814
Mailing Address - Country:US
Mailing Address - Phone:323-361-3550
Mailing Address - Fax:323-361-8052
Practice Address - Street 1:4650 W SUNSET BLVD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90027-6062
Practice Address - Country:US
Practice Address - Phone:323-361-3550
Practice Address - Fax:323-361-8052
Is Sole Proprietor?:No
Enumeration Date:2006-05-25
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAC128115207ZP0102X
ARE-0597207ZP0213X, 207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
No207ZP0213XAllopathic & Osteopathic PhysiciansPathologyPediatric Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAC128115Medicaid
AR128057001Medicaid
ARG13362Medicare UPIN
AR128057001Medicaid