Provider Demographics
NPI:1477700680
Name:PARAKHOODI, S.AVA (DMD)
Entity Type:Individual
Prefix:DR
First Name:S.AVA
Middle Name:
Last Name:PARAKHOODI
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:224 SCHILLING CIR STE 272
Mailing Address - Street 2:
Mailing Address - City:HUNT VALLEY
Mailing Address - State:MD
Mailing Address - Zip Code:21031-8663
Mailing Address - Country:US
Mailing Address - Phone:443-353-5885
Mailing Address - Fax:
Practice Address - Street 1:224 SCHILLING CIR STE 272
Practice Address - Street 2:
Practice Address - City:HUNT VALLEY
Practice Address - State:MD
Practice Address - Zip Code:21031
Practice Address - Country:US
Practice Address - Phone:443-353-5885
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-19
Last Update Date:2018-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD15965122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist