Basic Information
Provider Information
NPI: 1427303122
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PAREKH
FirstName: KARISHMA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 255228
Address2:  
City: SACRAMENTO
State: CA
PostalCode: 958655228
CountryCode: US
TelephoneNumber: 8666810736
FaxNumber:  
Practice Location
Address1: 2545 W HAMMER LN
Address2:  
City: STOCKTON
State: CA
PostalCode: 952092839
CountryCode: US
TelephoneNumber: 2099543370
FaxNumber: 2099513181
Other Information
ProviderEnumerationDate: 07/18/2012
LastUpdateDate: 09/02/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/02/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RP1001XMD184588ORN Allopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
207RP1001XA169394CAY Allopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease

No ID Information.


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