Bashardoust, Parvaneh

Bashardoust, Parvaneh is an individual health care provider with primary practice located at 8433 Harcourt Rd Ste 200 , Indianapolis IN 46260-2195. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Bashardoust, Parvaneh can be contacted via phone (317) 338-7800.

Contact Information

Primary practice address
8433 Harcourt Rd Ste 200 Indianapolis IN 46260-2195
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 71003005A Indiana

Profile Details

NPI number 1477886992
LBN Legal business name Bashardoust, Parvaneh
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2009
Last updated Mar 18th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477886992 NPPES
Indiana MEDICAID 200963470

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