Provider Demographics
NPI:1568491629
Name:PARVEZ, SALEH M (MD)
Entity Type:Individual
Prefix:DR
First Name:SALEH
Middle Name:M
Last Name:PARVEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6101 GROSVENOR SHORE DR
Mailing Address - Street 2:
Mailing Address - City:WINDERMERE
Mailing Address - State:FL
Mailing Address - Zip Code:34786-5660
Mailing Address - Country:US
Mailing Address - Phone:407-748-0674
Mailing Address - Fax:407-395-9261
Practice Address - Street 1:2984 ALAFAYA TRL STE 1030
Practice Address - Street 2:
Practice Address - City:OVIEDO
Practice Address - State:FL
Practice Address - Zip Code:32765-7628
Practice Address - Country:US
Practice Address - Phone:470-542-3137
Practice Address - Fax:321-319-9674
Is Sole Proprietor?:No
Enumeration Date:2006-07-01
Last Update Date:2020-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20090319262084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200068710 AMedicaid
OK243608712Medicare ID - Type Unspecified
OKI50860Medicare UPIN