Organization Active NPI

Parviz Sorouri M.D. P.a.

  • Gastroenterology Physician
  • Newark, DE
National Provider Identifier
1972832210
Registry record updated Dec 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
PARVIZ SOROURI M.D. P.A.
Practice address
10 Darwin Dr
Newark, DE 19711-6658
Phone
(302) 453-9171
Fax
(302) 453-0732
NPI assigned
Dec 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2009

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

Authorized official

Name
Dr. Parviz Sorouri, M.D.
Title
President
Phone
(302) 453-9171

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

10 Darwin Dr
Newark, DE 19711-6658

Mailing address

10 Darwin Dr
Newark, DE 19711-6658
Phone (302) 453-9171

Other identifiers 1

IdentifierTypeStateIssuer
0000258301MedicaidDE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1260921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260921600000",
    "number": "1972832210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 DARWIN DR",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197116658",
            "telephone_number": "302-453-9171",
            "fax_number": "302-453-0732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 DARWIN DR",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197116658",
            "telephone_number": "302-453-9171",
            "fax_number": "302-453-0732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARVIZ SOROURI M.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-16",
        "last_updated": "2009-12-16",
        "status": "A",
        "authorized_official_last_name": "SOROURI",
        "authorized_official_first_name": "PARVIZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "302-453-9171",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000258301",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2009; 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.