Provider Demographics
NPI:1881272714
Name:PARIDA, AKASH (DO)
Entity type:Individual
Prefix:
First Name:AKASH
Middle Name:
Last Name:PARIDA
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7404 LA MANTANZA
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92127-3636
Mailing Address - Country:US
Mailing Address - Phone:858-776-8235
Mailing Address - Fax:
Practice Address - Street 1:7404 LA MANTANZA
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92127-3636
Practice Address - Country:US
Practice Address - Phone:858-776-8235
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-31
Last Update Date:2024-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A22604207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine