Provider Demographics
NPI:1508984089
Name:KHARA, PARMINDER (MD)
Entity Type:Individual
Prefix:DR
First Name:PARMINDER
Middle Name:
Last Name:KHARA
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 1:5720 CREEDMOOR RD
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27612-2256
Mailing Address - Country:US
Mailing Address - Phone:919-277-0345
Mailing Address - Fax:
Practice Address - Street 1:5720 CREEDMOOR RD
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27612-2256
Practice Address - Country:US
Practice Address - Phone:919-277-0345
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-26
Last Update Date:2011-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200600965207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL018418OtherHEALTH ALLIANCE
IL036099290OtherOTHER INSURANCE
IDP00119565OtherMEDICARE RR
IL036099290OtherCHAMPUS
IL036099290OtherBLUE CROSS
IL036099290Medicaid
IL036099290OtherOTHER INSURANCE
ILK05973Medicare ID - Type UnspecifiedMEDICARE NUMBER