Provider Demographics
NPI:1871533976
Name:PAREKH, RULAN SAVITA (MD)
Entity type:Individual
Prefix:
First Name:RULAN
Middle Name:SAVITA
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 64316
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21264-4316
Mailing Address - Country:US
Mailing Address - Phone:410-933-1241
Mailing Address - Fax:
Practice Address - Street 1:600 N WOLFE ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21287-0005
Practice Address - Country:US
Practice Address - Phone:410-955-4427
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD55407207RN0300X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Not Answered208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD805ZMedicare ID - Type UnspecifiedINDIVIDUAL
MDKR43JHMedicare ID - Type UnspecifiedGROUP
MDH07449Medicare UPIN
MDKR64JHMedicare ID - Type UnspecifiedGROUP
MD96EEMedicare ID - Type UnspecifiedINDIVIDUAL