Provider Demographics
NPI:1871525659
Name:PAREKH, SHEILA SANKARAVADIVU (MD)
Entity type:Individual
Prefix:MRS
First Name:SHEILA
Middle Name:SANKARAVADIVU
Last Name:PAREKH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 26726
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78755-0726
Mailing Address - Country:US
Mailing Address - Phone:512-407-8686
Mailing Address - Fax:512-421-4489
Practice Address - Street 1:1401 MEDICAL PKWY
Practice Address - Street 2:BLDG. B, SUITE 220
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-7464
Practice Address - Country:US
Practice Address - Phone:512-260-1581
Practice Address - Fax:512-528-7923
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2009-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL9417174400000X, 207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXL9417OtherTEXAS MEDICAL LICENSURE
TX169415003Medicaid
TX169415004Medicaid
TX169415003Medicaid
TXI18848Medicare UPIN
TX8C5882Medicare ID - Type Unspecified
TXP00681022Medicare PIN
TX8L1572Medicare PIN