Basic Information
Provider Information
NPI: 1487663357
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PARGHI
FirstName: SHARVARI
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 333 N SANTA ROSA
Address2:  
City: SAN ANTONIO
State: TX
PostalCode: 782073108
CountryCode: US
TelephoneNumber: 7137981750
FaxNumber: 7137984693
Practice Location
Address1: 2023 SAUVIGNON
Address2:  
City: SAN ANTONIO
State: TX
PostalCode: 782584668
CountryCode: US
TelephoneNumber: 2106393257
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/07/2006
LastUpdateDate: 11/09/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 11/09/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XM2000TXN Allopathic & Osteopathic PhysiciansInternal Medicine 
208000000XM2000TXY Allopathic & Osteopathic PhysiciansPediatrics 

No ID Information.


Home