Provider Demographics
NPI:1720208911
Name:PARIHAR MEDICAL CORP
Entity Type:Organization
Organization Name:PARIHAR MEDICAL CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HARDEV
Authorized Official - Middle Name:S
Authorized Official - Last Name:PARIHAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:304-723-2152
Mailing Address - Street 1:PO BOX 2238
Mailing Address - Street 2:
Mailing Address - City:WEIRTON
Mailing Address - State:WV
Mailing Address - Zip Code:26062
Mailing Address - Country:US
Mailing Address - Phone:304-723-2152
Mailing Address - Fax:
Practice Address - Street 1:485 COLLIERS WAY
Practice Address - Street 2:SUITE N
Practice Address - City:WEIRTON
Practice Address - State:WV
Practice Address - Zip Code:26062-5012
Practice Address - Country:US
Practice Address - Phone:304-723-2152
Practice Address - Fax:304-723-2160
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-27
Last Update Date:2007-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA07799872Medicaid
WV0131043000Medicaid
OH0576489Medicaid
000000153390OtherANTHEM
F0013890OtherHEALTH PLAN UPPER OH VALL
OH0576489Medicaid
OH9287922Medicare PIN
000000153390OtherANTHEM
WV0131043000Medicaid
WV9287921Medicare PIN