Provider Demographics
NPI:1073621488
Name:PARHAR, NARINDER (MD)
Entity Type:Individual
Prefix:
First Name:NARINDER
Middle Name:
Last Name:PARHAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:584 N SUNRISE AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95661-3035
Mailing Address - Country:US
Mailing Address - Phone:916-773-4290
Mailing Address - Fax:
Practice Address - Street 1:584 N SUNRISE AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95661-3035
Practice Address - Country:US
Practice Address - Phone:916-773-4290
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-26
Last Update Date:2007-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC43320207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00C433200Medicaid
CA00C433200Medicaid
CAD50539Medicare UPIN