Provider Demographics
NPI:1164531422
Name:PARULKAR, BHALCHANDRA G (MD, MCH)
Entity Type:Individual
Prefix:DR
First Name:BHALCHANDRA
Middle Name:G
Last Name:PARULKAR
Suffix:
Gender:M
Credentials:MD, MCH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:85 PRESCOTT STREET
Mailing Address - Street 2:SUITE 403
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01605
Mailing Address - Country:US
Mailing Address - Phone:508-753-7259
Mailing Address - Fax:508-753-9577
Practice Address - Street 1:85 PRESCOTT STREET
Practice Address - Street 2:SUITE 403
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01605
Practice Address - Country:US
Practice Address - Phone:508-753-7259
Practice Address - Fax:508-753-9577
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2014-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA150437208800000X
MA150443208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3178251Medicaid
A23858Medicare ID - Type Unspecified
MA3178251Medicaid