Provider Demographics
NPI:1164505913
Name:PARSA, FEREYDOUN D (MD)
Entity Type:Individual
Prefix:DR
First Name:FEREYDOUN
Middle Name:D
Last Name:PARSA
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 1:1329 LUSITANA ST STE 807
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-2435
Mailing Address - Country:US
Mailing Address - Phone:808-526-0303
Mailing Address - Fax:808-536-8836
Practice Address - Street 1:1329 LUSITANA ST STE 807
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-2435
Practice Address - Country:US
Practice Address - Phone:808-526-0303
Practice Address - Fax:808-536-8836
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2007-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD2910208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
HID36406Medicare UPIN
HIH0000BDHHCMedicare PIN