Provider Demographics
NPI:1659457349
Name:PARSAMYAN, OLGA I
Entity Type:Individual
Prefix:MRS
First Name:OLGA
Middle Name:I
Last Name:PARSAMYAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15600 W 10 MILE RD
Mailing Address - Street 2:13
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48075-2147
Mailing Address - Country:US
Mailing Address - Phone:818-636-2070
Mailing Address - Fax:248-569-9490
Practice Address - Street 1:15600 W 10 MILE RD
Practice Address - Street 2:13
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075-2147
Practice Address - Country:US
Practice Address - Phone:248-569-9659
Practice Address - Fax:248-569-9490
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies