Provider Demographics
NPI:1548455603
Name:OBGYN OF SIDNEY PC
Entity type:Organization
Organization Name:OBGYN OF SIDNEY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KHALID
Authorized Official - Middle Name:
Authorized Official - Last Name:PARWEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:607-564-9490
Mailing Address - Street 1:44 PEARL ST W
Mailing Address - Street 2:
Mailing Address - City:SIDNEY
Mailing Address - State:NY
Mailing Address - Zip Code:13838-1325
Mailing Address - Country:US
Mailing Address - Phone:607-563-9490
Mailing Address - Fax:
Practice Address - Street 1:44 PEARL ST W
Practice Address - Street 2:
Practice Address - City:SIDNEY
Practice Address - State:NY
Practice Address - Zip Code:13838-1325
Practice Address - Country:US
Practice Address - Phone:607-563-9490
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-12
Last Update Date:2007-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY128379207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYWZWTV1Medicare PIN
NYBA0692Medicare PIN