Basic Information
| Provider Information | |||||||||
| NPI: | 1346215621 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | PARVIZ | ||||||||
| FirstName: | SHEIKH | ||||||||
| MiddleName: | SHEHZAD | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 387 | ||||||||
| Address2: | |||||||||
| City: | HAGERSTOWN | ||||||||
| State: | MD | ||||||||
| PostalCode: | 217410387 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3017917011 | ||||||||
| FaxNumber: | 8774411148 | ||||||||
| Practice Location | |||||||||
| Address1: | 112 N. SEVENTH STREET | ||||||||
| Address2: | |||||||||
| City: | CHAMBERSBURG | ||||||||
| State: | PA | ||||||||
| PostalCode: | 17201 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7172631141 | ||||||||
| FaxNumber: | 7172631146 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/21/2006 | ||||||||
| LastUpdateDate: | 07/30/2018 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RI0200X | 21029 | WV | N | Allopathic & Osteopathic Physicians | Internal Medicine | Infectious Disease | 207R00000X | D73158 | MD | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207RI0200X | MD435146 | PA | N | Allopathic & Osteopathic Physicians | Internal Medicine | Infectious Disease | 207RI0200X | D73158 | MD | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Infectious Disease |
ID Information
| ID | Type | State | Issuer | Description | 001721457 | 01 | WV | MTN STATE BC/BS SERVICE | OTHER | 02695 | 01 | WV | WV BOM DISPENSING REG NO | OTHER | 25-1716306 | 01 | PA | INFORMED | OTHER | BP8155687 | 01 | PA | DEA | OTHER | P00683493 | 01 | PA | RAILROAD MEDICARE | OTHER | 21029 | 01 | WV | WV BOM MD LICENSE | OTHER | 25-1716306 | 01 | PA | MULTIPLAN/PHCS | OTHER | 714460 | 01 | WV | NCPPO | OTHER | IM 2136649 | 01 | WV | UNITED HEALTHCARE-INT.MED | OTHER | 001967359 | 01 | WV | MTN STATE BC/BS PAY TO 2 | OTHER | 25-1716306 | 01 | PA | DEVON | OTHER | 3185745 | 01 | PA | MAMSI | OTHER | 867633 | 01 | PA | MEDICARE GROUP # | OTHER | PCP-8136649 | 01 | WV | UNITED HEALTH CARE PCP | OTHER | 1068672 | 01 | WV | BRICKSTREET WORKERS COMP | OTHER | 328667 | 01 | WV | CARELINK | OTHER | BP8155687 | 01 | WV | DEA | OTHER | MD435146 | 01 | PA | LICENSE | OTHER | 001710220 | 01 | WV | MTN STATE BC/BS PAY TO 1 | OTHER | 102197900 0001 | 05 | PA | MEDICAID | 120420407 | 01 | PA | DEPT OF LABOR | OTHER | 120420419 | 01 | PA | DEPT OF LABOR | OTHER | 1576196 | 01 | PA | GATEWAY | OTHER | 25-1716306 | 01 | PA | HEALTHNET/TRICARE | OTHER | 25-1716306 | 01 | PA | INTERGROUP | OTHER | 7545585 | 01 | PA | AETNA NON-HMO | OTHER | G920-0093/KDM4CU | 01 | PA | CAREFIRST | OTHER | P00328116 | 01 | WV | RAILROAD MEDICARE | OTHER | 50085312 | 01 | PA | CAPITAL BLUECROSS | OTHER | 1007307260034 | 01 | PA | MEDICAID GROUP # | OTHER | 1935994 | 01 | PA | AETNA HMO | OTHER | 2136649 | 01 | PA | MAMSI | OTHER | 25-1716306 | 01 | PA | SOUTH CENTRAL PREFERRED | OTHER | 25-1716306 | 01 | PA | GREATWEST | OTHER | 3004352000 | 05 | WV | MEDICAID | FQ21029 | 01 | WV | HEALTH PLAN PROVIDER | OTHER | ID--3136649 | 01 | WV | UNITED HEALTH CARE-INF DI | OTHER | PA1721457 | 01 | PA | HIGHMARK BLUESHIELD | OTHER | 00002424153 03 | 01 | WV | UNITED HEALTH CARE | OTHER | 1021979000001 | 05 | PA | MEDICAID | 1346215621 | 01 | PA | HEALTH AMERICA | OTHER | 25-1716306 | 01 | PA | FIRST HEALTH | OTHER | 255977 | 01 | PA | UNISON | OTHER | 265627 | 01 | PA | UNISON | OTHER | 50080316 | 01 | PA | CAPITAL BLUECROSS | OTHER |