Provider Demographics
NPI:1679148589
Name:RAJDEEP PARMAR MD PLC
Entity type:Organization
Organization Name:RAJDEEP PARMAR MD PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:RAJDEEP
Authorized Official - Middle Name:
Authorized Official - Last Name:PARMAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:630-907-0578
Mailing Address - Street 1:247 UNION VIEW LN
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22603-3340
Mailing Address - Country:US
Mailing Address - Phone:800-969-1104
Mailing Address - Fax:703-763-7272
Practice Address - Street 1:400 W STRASBURG RD
Practice Address - Street 2:
Practice Address - City:FRONT ROYAL
Practice Address - State:VA
Practice Address - Zip Code:22630-4644
Practice Address - Country:US
Practice Address - Phone:800-969-1104
Practice Address - Fax:703-763-7272
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-24
Last Update Date:2023-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1518939008Medicaid