Provider Demographics
NPI:1184717977
Name:PARASHAR, LAXMAN KUMAR (MD)
Entity type:Individual
Prefix:DR
First Name:LAXMAN
Middle Name:KUMAR
Last Name:PARASHAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:69 W CEDAR ST
Mailing Address - Street 2:FAIRVIEW MEDICAL BUILDING
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12601-1351
Mailing Address - Country:US
Mailing Address - Phone:845-473-5710
Mailing Address - Fax:845-473-7104
Practice Address - Street 1:69 W CEDAR ST
Practice Address - Street 2:FAIRVIEW MEDICAL BUILDING
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12601-1351
Practice Address - Country:US
Practice Address - Phone:845-473-5710
Practice Address - Fax:845-473-7104
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY115318-1207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY11773OtherMATRIX HEALTH CARE
NY4129011OtherAETNA HEALTH CARE
NY117265OtherMVP HEALTH CARE
NY00368456Medicaid
NYC08421Medicare UPIN
NY320481Medicare ID - Type Unspecified