Provider Demographics
NPI:1225525082
Name:SUIT, PARKER (DO)
Entity Type:Individual
Prefix:DR
First Name:PARKER
Middle Name:
Last Name:SUIT
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:89 RIVERVIEW DR W APT 89-201
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38103-8714
Mailing Address - Country:US
Mailing Address - Phone:478-960-5174
Mailing Address - Fax:
Practice Address - Street 1:89 RIVERVIEW DR W APT 89-201
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38103-8714
Practice Address - Country:US
Practice Address - Phone:478-960-5174
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-17
Last Update Date:2022-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
ARE-146552085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program