Provider Demographics
NPI:1528233079
Name:SOOMEKH, PARVIZ (MD)
Entity Type:Individual
Prefix:DR
First Name:PARVIZ
Middle Name:
Last Name:SOOMEKH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 VERITY LN
Mailing Address - Street 2:
Mailing Address - City:ROSLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11576-2000
Mailing Address - Country:US
Mailing Address - Phone:516-603-6151
Mailing Address - Fax:703-766-9725
Practice Address - Street 1:8 VERITY LN
Practice Address - Street 2:
Practice Address - City:ROSLYN
Practice Address - State:NY
Practice Address - Zip Code:11576
Practice Address - Country:US
Practice Address - Phone:516-603-6151
Practice Address - Fax:703-766-9725
Is Sole Proprietor?:No
Enumeration Date:2008-04-25
Last Update Date:2019-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY258881207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology