Provider Demographics
NPI:1396825147
Name:PARULEKAR, NIKHIL SHARAD (DO)
Entity Type:Individual
Prefix:DR
First Name:NIKHIL
Middle Name:SHARAD
Last Name:PARULEKAR
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 327
Mailing Address - Street 2:
Mailing Address - City:CORBIN
Mailing Address - State:KY
Mailing Address - Zip Code:40702
Mailing Address - Country:US
Mailing Address - Phone:606-528-1234
Mailing Address - Fax:606-528-2727
Practice Address - Street 1:141 EAST CUMBERLAND GAP PKWY.
Practice Address - Street 2:
Practice Address - City:CORBIN
Practice Address - State:KY
Practice Address - Zip Code:40701
Practice Address - Country:US
Practice Address - Phone:606-528-1234
Practice Address - Fax:606-528-2727
Is Sole Proprietor?:No
Enumeration Date:2006-10-16
Last Update Date:2011-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY02630207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64980022Medicaid
G86690Medicare UPIN
KY1763901Medicare PIN