Individual
JITENDRA RAVJI PARMAR
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 HOSPITAL DR, EUFAULA, OK 74432-4010
(918) 689-2541
(918) 689-7285
Mailing address
PO BOX 629, EUFAULA, OK 74432-0629
(918) 689-2541
(918) 689-7285
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
15445
OK
207RG0100X
Gastroenterology Physician
32240
IN
207RG0100X
Gastroenterology Physician
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
731262066001
BLUE CROSS BLUE SHIELD
OK
Enumeration date
08/26/2005
Last updated
07/08/2007
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