Provider Demographics
NPI:1851375034
Name:PARAMESH, KANNEN (MD)
Entity Type:Individual
Prefix:DR
First Name:KANNEN
Middle Name:
Last Name:PARAMESH
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 1:23101 SHERMAN PL
Mailing Address - Street 2:501
Mailing Address - City:WEST HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91307-2003
Mailing Address - Country:US
Mailing Address - Phone:818-340-5421
Mailing Address - Fax:818-340-7606
Practice Address - Street 1:23101 SHERMAN PL
Practice Address - Street 2:501
Practice Address - City:WEST HILLS
Practice Address - State:CA
Practice Address - Zip Code:91307-2003
Practice Address - Country:US
Practice Address - Phone:818-340-5421
Practice Address - Fax:818-340-7606
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-01
Last Update Date:2010-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA29461174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA83957Medicare UPIN
CAA29461Medicare ID - Type Unspecified