# DR. JOHNATHON SETH PARHAM

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1154766418
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 2021030654 | MO | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 2021030654 | MO | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 298083 | NY | Yes |

## Other

- **Enumeration date:** 04/30/2013
- **Last updated:** 01/06/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200063290 | — | MO |