Parsa, Mohammad Reza

Parsa, Mohammad Reza is an individual health care provider with primary practice located at 980 Highway 51 Ste B, Madison MS 39110. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Parsa, Mohammad Reza can be contacted via phone (601) 605-8770.

Contact Information

Primary practice address
980 Highway 51 Ste B Madison MS 39110
Phone: (601) 605-8770
Fax: (601) 605-8773
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 80153 Mississippi
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 80153 Mississippi

Profile Details

NPI number 1770688558
LBN Legal business name Parsa, Mohammad Reza
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2006
Last updated Jul 8th, 2007 - about 17 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 1770688558 NPPES
Mississippi MEDICAID 00122886

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