Provider Demographics
NPI:1407452956
Name:TOOSI, PARISA (MD)
Entity type:Individual
Prefix:DR
First Name:PARISA
Middle Name:
Last Name:TOOSI
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:DEPARTMENT OF PATHOLOGY QUILLEN COLLEGE OF MEDICINE PO
Mailing Address - Street 2:BOX 70568
Mailing Address - City:JOHNSON CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37614-0568
Mailing Address - Country:US
Mailing Address - Phone:929-261-2085
Mailing Address - Fax:
Practice Address - Street 1:605 W 42ND ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10036-2010
Practice Address - Country:US
Practice Address - Phone:929-261-2085
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-09
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA198665207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology