Provider Demographics
NPI:1114084506
Name:PAREKH, VAIBHAV A (MD)
Entity Type:Individual
Prefix:DR
First Name:VAIBHAV
Middle Name:A
Last Name:PAREKH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1 CALVARY CT
Mailing Address - Street 2:
Mailing Address - City:LUTHERVILLE TIMONIUM
Mailing Address - State:MD
Mailing Address - Zip Code:21093-3956
Mailing Address - Country:US
Mailing Address - Phone:410-321-6245
Mailing Address - Fax:410-321-6245
Practice Address - Street 1:3001 S HANOVER ST
Practice Address - Street 2:STE 300, GRUEHN BLDG
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21225-1233
Practice Address - Country:US
Practice Address - Phone:410-350-8222
Practice Address - Fax:410-350-8220
Is Sole Proprietor?:No
Enumeration Date:2007-01-03
Last Update Date:2011-09-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD0060842207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDD0060842OtherMEDICAL LICENSE