Individual
PARISA AYN GHASEMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
101 E WOOD ST, SPARTANBURG, SC 29303-3040
(864) 560-6000
(864) 560-4023
Mailing address
PO BOX 277723, ATLANTA, GA 30384-7723
(864) 560-4123
(864) 560-4023
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
27485
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AN3939
—
SC
01
—
Q817363365
MEDICARE PIN
SC
01
—
Q817369225
MEDICARE PIN
SC
Enumeration date
04/28/2023
Last updated
08/08/2023
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