Basic Information
Provider Information
NPI: 1740523844
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PARSAIK
FirstName: AJAY
MiddleName: KUMAR
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
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Mailing Information
Address1: 1000 N OAK AVE
Address2:  
City: MARSHFIELD
State: WI
PostalCode: 544495703
CountryCode: US
TelephoneNumber: 7153875511
FaxNumber: 7153875240
Practice Location
Address1: 1941 EAST RD BBSB
Address2: 3236 PSYCHIATRY AND BEHAVIORAL SCIENCES
City: HOUSTON
State: MN
PostalCode: 77054
CountryCode: US
TelephoneNumber: 7134862571
FaxNumber: 7134862565
Other Information
ProviderEnumerationDate: 03/27/2013
LastUpdateDate: 11/28/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
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IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000X  N Student, Health CareStudent in an Organized Health Care Education/Training Program 
2084P0800X66878-20WIY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry

No ID Information.


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