Individual
MR. SIVAPRASAD PARNAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3401 SOLDIERS HOME RD, WEST LAFAYETTE BRA, IN 47906-1222
(765) 463-1541
Mailing address
2601 SOLDIERS HOME RD, WEST LAFAYETTE BRA, IN 47906-1653
(203) 517-5022
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
028303
NY
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
05009075A
IN
Other
Enumeration date
09/17/2006
Last updated
09/11/2025
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