Provider Demographics
NPI:1669818316
Name:ADITYA PARSHAD MD PA
Entity Type:Organization
Organization Name:ADITYA PARSHAD MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ADITYA
Authorized Official - Middle Name:
Authorized Official - Last Name:PARSHAD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-760-6666
Mailing Address - Street 1:331 OAK MANOR DR
Mailing Address - Street 2:SUITE 202
Mailing Address - City:GLEN BURNIE
Mailing Address - State:MD
Mailing Address - Zip Code:21061-5548
Mailing Address - Country:US
Mailing Address - Phone:410-760-6666
Mailing Address - Fax:410-760-2066
Practice Address - Street 1:331 OAK MANOR DR
Practice Address - Street 2:SUITE 202
Practice Address - City:GLEN BURNIE
Practice Address - State:MD
Practice Address - Zip Code:21061-5548
Practice Address - Country:US
Practice Address - Phone:410-760-6666
Practice Address - Fax:410-760-2066
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-21
Last Update Date:2013-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0045354207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
262534Medicare UPIN