Provider Demographics
NPI:1023388071
Name:KASHMIRA D PAREKH MD P C
Entity Type:Organization
Organization Name:KASHMIRA D PAREKH MD P C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:PAREKH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-323-6317
Mailing Address - Street 1:2000 10TH AVE
Mailing Address - Street 2:SUITE 210
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31901-3700
Mailing Address - Country:US
Mailing Address - Phone:706-327-3515
Mailing Address - Fax:706-327-3559
Practice Address - Street 1:2000 10TH AVE
Practice Address - Street 2:SUITE 210
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31901-3700
Practice Address - Country:US
Practice Address - Phone:706-327-3515
Practice Address - Fax:706-327-3559
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-09
Last Update Date:2012-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA26908305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA1457397739OtherINDIVIDUAL NPI
GA000663539BMedicaid
GA26BDGWCMedicare PIN
GA1457397739OtherINDIVIDUAL NPI