Provider Demographics
NPI:1265506273
Name:REKHA PARULKAR,MD
Entity Type:Organization
Organization Name:REKHA PARULKAR,MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:REKHA
Authorized Official - Middle Name:
Authorized Official - Last Name:PARULKAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:330-385-6566
Mailing Address - Street 1:205 W 6TH ST
Mailing Address - Street 2:
Mailing Address - City:EAST LIVERPOOL
Mailing Address - State:OH
Mailing Address - Zip Code:43920-2801
Mailing Address - Country:US
Mailing Address - Phone:330-385-6566
Mailing Address - Fax:330-386-6191
Practice Address - Street 1:205 W 6TH ST
Practice Address - Street 2:
Practice Address - City:EAST LIVERPOOL
Practice Address - State:OH
Practice Address - Zip Code:43920-2801
Practice Address - Country:US
Practice Address - Phone:330-385-6566
Practice Address - Fax:330-386-6191
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Not Answered207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2620480Medicaid
OH2620471Medicaid
OHRE9359042Medicare ID - Type Unspecified
OH2620471Medicaid