Provider Demographics
NPI:1881983500
Name:PARMAR, RAVIINDER SINGH (MD)
Entity type:Individual
Prefix:DR
First Name:RAVIINDER
Middle Name:SINGH
Last Name:PARMAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1600
Mailing Address - Street 2:
Mailing Address - City:PINELLAS PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33780-1600
Mailing Address - Country:US
Mailing Address - Phone:727-490-2727
Mailing Address - Fax:727-800-1030
Practice Address - Street 1:6798 CROSSWINDS DR N STE E102
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33710-5479
Practice Address - Country:US
Practice Address - Phone:727-490-2727
Practice Address - Fax:866-237-7330
Is Sole Proprietor?:No
Enumeration Date:2011-04-04
Last Update Date:2020-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME129132208VP0014X, 207LP2900X
IL125.060561208600000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
No208600000XAllopathic & Osteopathic PhysiciansSurgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL3QO7AOtherBCBS FL
FL018906600Medicaid