Provider Demographics
NPI:1679521777
Name:ASMAT, PARVEZ (MD)
Entity type:Individual
Prefix:
First Name:PARVEZ
Middle Name:
Last Name:ASMAT
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 1:185 GENESEE ST
Mailing Address - Street 2:SUITE 600
Mailing Address - City:UTICA
Mailing Address - State:NY
Mailing Address - Zip Code:13501-2199
Mailing Address - Country:US
Mailing Address - Phone:315-793-8806
Mailing Address - Fax:315-793-8046
Practice Address - Street 1:1656 CHAMPLIN AVE
Practice Address - Street 2:
Practice Address - City:UTICA
Practice Address - State:NY
Practice Address - Zip Code:13502-4830
Practice Address - Country:US
Practice Address - Phone:315-624-6116
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-04
Last Update Date:2023-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1637002085R0202X, 2085R0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00933160Medicaid
NY1637008WOtherWC
NYP010163700OtherBCBS
NY10025142OtherCDPHP
NY01647929Medicaid
NY225087OtherMVP
NY4102002OtherGHI
NY040426013905OtherFIDELIS
NY300021948OtherRAIL ROAD MEDICARE
NY300021948OtherRAIL ROAD MEDICARE
NY1637008WOtherWC
NY225087OtherMVP
E16873Medicare UPIN