Provider Demographics
NPI:1700651312
Name:PARMAR, AMITKUMAR P
Entity type:Individual
Prefix:
First Name:AMITKUMAR
Middle Name:P
Last Name:PARMAR
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8352 FITTLEWORTH WAY
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95829-9241
Mailing Address - Country:US
Mailing Address - Phone:916-380-0621
Mailing Address - Fax:
Practice Address - Street 1:8352 FITTLEWORTH WAY
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95829-9241
Practice Address - Country:US
Practice Address - Phone:916-380-0621
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-24
Last Update Date:2023-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)