Provider Demographics
NPI:1396735874
Name:PARMAR, KIRANPREET SINGH (MD)
Entity type:Individual
Prefix:
First Name:KIRANPREET
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 1:301 BUEL AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10305-2201
Mailing Address - Country:US
Mailing Address - Phone:718-980-9898
Mailing Address - Fax:718-980-9897
Practice Address - Street 1:705 86TH STREET
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11228
Practice Address - Country:US
Practice Address - Phone:718-980-9898
Practice Address - Fax:718-980-9897
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-25
Last Update Date:2020-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY60222044207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
3C3461OtherHEALTHNET
NY02350521Medicaid
7504303OtherAETNA
169025OtherHIP
6150965OtherCIGNA
2511879OtherGHI
P2548886OtherOXFORD
2195808OtherUHC
074ABOtherEMPIRE BC/BS
169025OtherHIP
3C3461OtherHEALTHNET