Individual
GEETHA PARASURAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2081
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z179891
MEDICARE PTAN
AZ
01
—
Z179892
MEDICARE PTAN
AZ
01
—
Z179893
MEDICARE PTAN
AZ
01
—
Z179894
MEDICARE PTAN
AZ
01
—
Z179895
MEDICARE PTAN
AZ
01
—
Z179896
MEDICARE PTAN
AZ
Enumeration date
08/19/2015
Last updated
10/07/2015
Update your record
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