Provider Demographics
NPI:1255321667
Name:PARWEZ, KHALID (MD)
Entity Type:Individual
Prefix:
First Name:KHALID
Middle Name:
Last Name:PARWEZ
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 1:44 PEARL ST W
Mailing Address - Street 2:
Mailing Address - City:SIDNEY
Mailing Address - State:NY
Mailing Address - Zip Code:13838-1325
Mailing Address - Country:US
Mailing Address - Phone:607-563-9490
Mailing Address - Fax:607-563-9504
Practice Address - Street 1:44 PEARL ST W
Practice Address - Street 2:
Practice Address - City:SIDNEY
Practice Address - State:NY
Practice Address - Zip Code:13838-1325
Practice Address - Country:US
Practice Address - Phone:607-563-9490
Practice Address - Fax:607-563-9504
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-26
Last Update Date:2008-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY128379207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
158231OtherMVP
NY01174285Medicaid
10027304OtherCDPHP
E36009Medicare UPIN
NY01174285Medicaid
158231OtherMVP