Provider Demographics
NPI:1366806002
Name:QUIST, PARASTOU FATEMI (MD)
Entity type:Individual
Prefix:
First Name:PARASTOU
Middle Name:FATEMI
Last Name:QUIST
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:200 TRENT DRIVE BOX 3807
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27710-3037
Mailing Address - Country:US
Mailing Address - Phone:919-684-7777
Mailing Address - Fax:919-385-9161
Practice Address - Street 1:40 DUKE MEDICINE CIR
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27710-2200
Practice Address - Country:US
Practice Address - Phone:919-684-7777
Practice Address - Fax:919-385-9161
Is Sole Proprietor?:No
Enumeration Date:2016-04-08
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.148920207T00000X
NC2024-01502207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery