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PARVIZ GHOLAMI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1 MEDICAL PARK BLVD, BRISTOL, TN 37620-7430
(423) 844-1121
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 302-6565

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101245692
VA
207R00000X
Internal Medicine Physician
A101582
CA
207RG0100X
Gastroenterology Physician
13385
ND
207RG0100X
Gastroenterology Physician
2024041759
MO
207RG0100X
Gastroenterology Physician
348758
LA
207RG0100X
Gastroenterology Physician
Primary
64913
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1740462464
CA
05
1740462464
KS
05
1740462464
VA
Enumeration date
12/04/2007
Last updated
10/02/2025
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