Provider Demographics
NPI:1962461459
Name:ANIL S. PARAMESH, M.D., S.C.
Entity Type:Organization
Organization Name:ANIL S. PARAMESH, M.D., S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANIL
Authorized Official - Middle Name:S
Authorized Official - Last Name:PARAMESH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:920-457-6750
Mailing Address - Street 1:1415 TULANE AVE # TW35
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70112-2600
Mailing Address - Country:US
Mailing Address - Phone:504-988-0783
Mailing Address - Fax:504-988-7510
Practice Address - Street 1:1415 TULANE AVE # TW35
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70112-2600
Practice Address - Country:US
Practice Address - Phone:504-988-0783
Practice Address - Fax:504-988-7510
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Not Answered208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI21284200Medicaid
WI21284200Medicaid