Organization
DEBIPARSHAD PROFESSIONAL SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN P DEBIPARSHAD MD (SOLE MEMBER)
(561) 693-8792
Entity
Organization
Contact information
Practice address
870 SEVEN HILLS DR STE 103, HENDERSON, NV 89052-4378
(702) 678-4658
(469) 453-3374
Mailing address
870 SEVEN HILLS DR STE 103, HENDERSON, NV 89052-4378
(702) 678-4658
(469) 453-3374
Taxonomy
Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
Primary
15997
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15997
MEDICAL LIC
NV
Enumeration date
07/22/2018
Last updated
07/22/2018
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