Provider Demographics
NPI:1508021874
Name:PARMOD K SAPRA MD,PC
Entity Type:Organization
Organization Name:PARMOD K SAPRA MD,PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PARMOD
Authorized Official - Middle Name:K
Authorized Official - Last Name:SAPRA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:276-679-3037
Mailing Address - Street 1:98 15TH ST NW STE 209
Mailing Address - Street 2:
Mailing Address - City:NORTON
Mailing Address - State:VA
Mailing Address - Zip Code:24273-1600
Mailing Address - Country:US
Mailing Address - Phone:276-679-3037
Mailing Address - Fax:276-679-3043
Practice Address - Street 1:98 15TH ST NW STE 209
Practice Address - Street 2:
Practice Address - City:NORTON
Practice Address - State:VA
Practice Address - Zip Code:24273-1600
Practice Address - Country:US
Practice Address - Phone:276-679-3037
Practice Address - Fax:276-679-3043
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-25
Last Update Date:2008-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA006758762Medicaid
VA006758762Medicaid
VAB08883Medicare UPIN