Provider Demographics
NPI:1316240369
Name:PARMAR, PRIYA SANJANA (MD)
Entity type:Individual
Prefix:
First Name:PRIYA
Middle Name:SANJANA
Last Name:PARMAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2629 TOWNSGATE RD STE 210
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91361-2985
Mailing Address - Country:US
Mailing Address - Phone:805-835-4401
Mailing Address - Fax:805-835-4909
Practice Address - Street 1:2629 TOWNSGATE RD STE 210
Practice Address - Street 2:
Practice Address - City:WESTLAKE VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91361-2985
Practice Address - Country:US
Practice Address - Phone:805-835-4401
Practice Address - Fax:805-835-4909
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-14
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA693952084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry