Provider Demographics
NPI:1316033418
Name:PARIHAR, PRADEEP SINGH (MD)
Entity Type:Individual
Prefix:DR
First Name:PRADEEP
Middle Name:SINGH
Last Name:PARIHAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:940 RIDGEVIEW DR STE 150
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013-5544
Mailing Address - Country:US
Mailing Address - Phone:972-672-4121
Mailing Address - Fax:972-905-4690
Practice Address - Street 1:940 RIDGEVIEW DR STE 150
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-5544
Practice Address - Country:US
Practice Address - Phone:972-672-4121
Practice Address - Fax:972-905-4690
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2023-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM3680207QS0010X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX184579401Medicaid
TX8J3223Medicare PIN
TX542331ZXEBMedicare PIN