| Doctor Name: | PEDRAM PARVA |
| NPI Number: | 1104847003 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 36355 |
| Business Practice Address: | 1400 Vfw Pkwy West Roxbury, MA - 021324927 |
| Business Phone Number: | 8572036448 |
| Business Fax Number: | |
| Mailing Address: | 57 Eliot St, Apt 26 JAMAICA PLAIN |
| State: | MA |
| Postal Code: | 021302700 |
| Phone Number: | 5044421600 |
| Fax Number: | 8572035723 |
| NPI Enumeration Date: | 07/23/2006 |
| NPI Last Update Date: | 11/21/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 286500000X |
| License Number: | 36355 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IA |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | Military Hospital |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A health care facility operated by the Department of Defense. |