Organization Active NPI

Sushma C Parekh

  • Diagnostic Radiology Physician
  • Wynne, AR
National Provider Identifier
1407972193
Registry record updated Mar 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
E-2655 Issued in AR
Legal business name
SUSHMA C PAREKH
Practice address
310 Falls Blvd S
Wynne, AR 72396-3013
Phone
(870) 208-2151
Fax
(870) 208-2157
NPI assigned
Mar 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Sushma Parekh, MD
Title
President
Phone
(901) 682-3905

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X E-2655 AR Primary

Addresses

Primary practice location

310 Falls Blvd S
Wynne, AR 72396-3013

Mailing address

5849 Garden River CV
Memphis, TN 38120-2501
Phone (901) 682-3905

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205798400000",
    "number": "1407972193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5849 GARDEN RIVER CV",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202501",
            "telephone_number": "901-682-3905",
            "fax_number": "901-682-3905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 FALLS BLVD S",
            "city": "WYNNE",
            "state": "AR",
            "postal_code": "723963013",
            "telephone_number": "870-208-2151",
            "fax_number": "870-208-2157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSHMA C PAREKH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2008-03-18",
        "status": "A",
        "authorized_official_last_name": "PAREKH",
        "authorized_official_first_name": "SUSHMA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "901-682-3905",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AR",
            "license": "E-2655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wynne, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.