Provider Demographics
NPI:1093235541
Name:PARVIZ BENHURI MD P.C.
Entity Type:Organization
Organization Name:PARVIZ BENHURI MD P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PARVIZ
Authorized Official - Middle Name:K
Authorized Official - Last Name:BENHURI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:917-892-8852
Mailing Address - Street 1:524 E 72ND ST APT 40A
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-9806
Mailing Address - Country:US
Mailing Address - Phone:212-570-1111
Mailing Address - Fax:
Practice Address - Street 1:1990 WESTWOOD BLVD STE 220
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90025-4674
Practice Address - Country:US
Practice Address - Phone:917-892-8852
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-26
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA34869207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA34869OtherLICENSE
CAAB807544OtherDEA