Provider Demographics
NPI:1477668275
Name:RASHIDI-BIRGANI, PARVANE (MD)
Entity Type:Individual
Prefix:
First Name:PARVANE
Middle Name:
Last Name:RASHIDI-BIRGANI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 250348
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75025-0348
Mailing Address - Country:US
Mailing Address - Phone:214-974-4710
Mailing Address - Fax:
Practice Address - Street 1:1208 VILLAGE CREEK DR STE 104
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-4452
Practice Address - Country:US
Practice Address - Phone:214-974-4710
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-20
Last Update Date:2022-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA237219207Q00000X
TXM5897207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA2159813Medicaid
MA000744001Medicare PIN