Provider Demographics
NPI:1861455602
Name:PARKANSKY, INESSA (MD)
Entity Type:Individual
Prefix:DR
First Name:INESSA
Middle Name:
Last Name:PARKANSKY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:735 FITZWATERTOWN RD
Mailing Address - Street 2:
Mailing Address - City:WILLOW GROVE
Mailing Address - State:PA
Mailing Address - Zip Code:19090-1332
Mailing Address - Country:US
Mailing Address - Phone:215-657-2012
Mailing Address - Fax:215-657-2018
Practice Address - Street 1:735 FITZWATERTOWN RD
Practice Address - Street 2:
Practice Address - City:WILLOW GROVE
Practice Address - State:PA
Practice Address - Zip Code:19090-1332
Practice Address - Country:US
Practice Address - Phone:215-657-2012
Practice Address - Fax:215-657-2018
Is Sole Proprietor?:No
Enumeration Date:2006-04-11
Last Update Date:2008-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD417650207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA02334MD417650LOtherHEALTH PARTNERS
PA1645055OtherHIGHMARK BLUE SHIELD
PA2320004000OtherKEYSTONE
PA6948853OtherCIGNA
PA7235595OtherAETNA
PAP00142759OtherRR MEDICARE
PA30015423OtherKEYSTONE MERCY
PA1010810240001Medicaid
PA7235595OtherAETNA
PA231952978OtherTIN
PAI15882Medicare UPIN