Provider Demographics
NPI:1518939008
Name:PARMAR, RAJDEEP S (DO)
Entity Type:Individual
Prefix:
First Name:RAJDEEP
Middle Name:S
Last Name:PARMAR
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:247 UNION VIEW LN
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22603-3340
Mailing Address - Country:US
Mailing Address - Phone:800-969-1104
Mailing Address - Fax:703-763-7272
Practice Address - Street 1:400 W STRASBURG RD
Practice Address - Street 2:
Practice Address - City:FRONT ROYAL
Practice Address - State:VA
Practice Address - Zip Code:22630-4644
Practice Address - Country:US
Practice Address - Phone:800-969-1104
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-07
Last Update Date:2023-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0102201228207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA266321OtherBCBS
VA110227160OtherRAILROAD MEDICARE
VA5864003Medicaid
VA110008216Medicare PIN
VAH48225Medicare UPIN