Provider Demographics
NPI:1891773719
Name:PARRAN, JAY NEIL (MD)
Entity Type:Individual
Prefix:MR
First Name:JAY
Middle Name:NEIL
Last Name:PARRAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:6600 BELAIR RD
Mailing Address - Street 2:SUITE 1A
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21206-1855
Mailing Address - Country:US
Mailing Address - Phone:410-254-2025
Mailing Address - Fax:410-254-2011
Practice Address - Street 1:6600 BELAIR RD
Practice Address - Street 2:SUITE 1A
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21206-1855
Practice Address - Country:US
Practice Address - Phone:410-254-2025
Practice Address - Fax:410-254-2011
Is Sole Proprietor?:No
Enumeration Date:2006-01-03
Last Update Date:2015-10-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD12644207W00000X
MDD0012644207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD459281600Medicaid
MD459281600Medicaid
B70170Medicare UPIN
MDB70170Medicare UPIN