Provider Demographics
NPI:1265646970
Name:PARASA, SABITHA (DMD)
Entity Type:Individual
Prefix:DR
First Name:SABITHA
Middle Name:
Last Name:PARASA
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2313 WINDSOR CHASE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43235-8914
Mailing Address - Country:US
Mailing Address - Phone:614-307-4511
Mailing Address - Fax:
Practice Address - Street 1:1709 BRICE RD
Practice Address - Street 2:
Practice Address - City:REYNOLDSBURG
Practice Address - State:OH
Practice Address - Zip Code:43068-2703
Practice Address - Country:US
Practice Address - Phone:614-522-0024
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30-0222441223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice