Provider Demographics
NPI:1831266196
Name:PARIMI, AMAR KUMAR (MD)
Entity type:Individual
Prefix:
First Name:AMAR
Middle Name:KUMAR
Last Name:PARIMI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:35400 BOB HOPE DR STE 209
Mailing Address - Street 2:
Mailing Address - City:RANCHO MIRAGE
Mailing Address - State:CA
Mailing Address - Zip Code:92270-1774
Mailing Address - Country:US
Mailing Address - Phone:760-202-0686
Mailing Address - Fax:760-770-4563
Practice Address - Street 1:35400 BOB HOPE DR STE 209
Practice Address - Street 2:
Practice Address - City:RANCHO MIRAGE
Practice Address - State:CA
Practice Address - Zip Code:92270-1774
Practice Address - Country:US
Practice Address - Phone:760-202-0686
Practice Address - Fax:760-770-4563
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2022-02-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAC55714207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1831266196Medicaid
NVP00932133OtherRAILROAD MEDICARE
NV1831266196Medicaid