Individual
RUPAL PARMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
405 W JACKSON ST, CARBONDALE, IL 62901-1462
(618) 549-0721
Mailing address
405 W JACKSON ST, CARBONDALE, IL 62901-1462
(618) 549-0721
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
036110272
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01636129
BCNS IL
IL
05
—
036110272
—
IL
Enumeration date
07/04/2006
Last updated
10/02/2024
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