Provider Demographics
NPI:1366638868
Name:MERCHANT, PARVEZ ALTAF
Entity Type:Individual
Prefix:MR
First Name:PARVEZ
Middle Name:ALTAF
Last Name:MERCHANT
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 1:271 W ATARA ST
Mailing Address - Street 2:
Mailing Address - City:MONROVIA
Mailing Address - State:CA
Mailing Address - Zip Code:91016-4716
Mailing Address - Country:US
Mailing Address - Phone:626-201-5147
Mailing Address - Fax:626-357-0996
Practice Address - Street 1:271 W ATARA ST
Practice Address - Street 2:
Practice Address - City:MONROVIA
Practice Address - State:CA
Practice Address - Zip Code:91016-4716
Practice Address - Country:US
Practice Address - Phone:626-201-5147
Practice Address - Fax:626-357-0996
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-18
Last Update Date:2007-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate Vehicle