Provider Demographics
NPI:1205851433
Name:PAREKH, DEEPIKA K (MD)
Entity Type:Individual
Prefix:DR
First Name:DEEPIKA
Middle Name:K
Last Name:PAREKH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:17306 W 7 MILE RD
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48235-3043
Mailing Address - Country:US
Mailing Address - Phone:313-255-4820
Mailing Address - Fax:313-255-4820
Practice Address - Street 1:17306 W 7 MILE RD
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48235-3043
Practice Address - Country:US
Practice Address - Phone:313-255-4820
Practice Address - Fax:313-255-4820
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2015-06-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301035876207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI10-1097809Medicaid
MI0808227431OtherBLUE CROSS BLUE SHIELD
MI10-1097809Medicaid