Individual
DR. PARVANEH BASHARDOUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1100 REID PKWY, RICHMOND, IN 47374-1157
(765) 983-3000
(765) 935-8437
Mailing address
1100 REID PKWY, RICHMOND, IN 47374-1157
(765) 983-3000
(765) 935-8437
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
71003005A
IN
390200000X
Student in an Organized Health Care Education/Training Program
Primary
11024669A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200963470
—
IN
Enumeration date
09/16/2009
Last updated
04/10/2026
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