Provider Demographics
NPI:1275290405
Name:SAINI, PARMINDER S
Entity Type:Individual
Prefix:
First Name:PARMINDER
Middle Name:S
Last Name:SAINI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10520 WALLINGSFORD CIR
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45458-5053
Mailing Address - Country:US
Mailing Address - Phone:937-671-1808
Mailing Address - Fax:
Practice Address - Street 1:10520 WALLINGSFORD CIR
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45458-5053
Practice Address - Country:US
Practice Address - Phone:937-671-1808
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-22
Last Update Date:2021-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH90514103101Y00000X, 101YP2500X, 133N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No133N00000XDietary & Nutritional Service ProvidersNutritionist