Provider Demographics
NPI:1275649386
Name:PARTH MEDICAL GROUP, INC.
Entity Type:Organization
Organization Name:PARTH MEDICAL GROUP, INC.
Other - Org Name:PREMIER PARTH MEDICAL GROUP, INC.
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:NARESH
Authorized Official - Middle Name:
Authorized Official - Last Name:GANESH
Authorized Official - Suffix:
Authorized Official - Credentials:M,D
Authorized Official - Phone:760-946-1344
Mailing Address - Street 1:16018 TUSCOLA RD STE 9
Mailing Address - Street 2:
Mailing Address - City:APPLE VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92307-1329
Mailing Address - Country:US
Mailing Address - Phone:760-946-1344
Mailing Address - Fax:760-946-2477
Practice Address - Street 1:16018 TUSCOLA RD STE 9
Practice Address - Street 2:
Practice Address - City:APPLE VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92307-1329
Practice Address - Country:US
Practice Address - Phone:760-946-1344
Practice Address - Fax:760-946-2477
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-22
Last Update Date:2012-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty