Provider Demographics
NPI:1568705788
Name:PAREKH, PRASHANT (MD, MBA)
Entity Type:Individual
Prefix:
First Name:PRASHANT
Middle Name:
Last Name:PAREKH
Suffix:
Gender:M
Credentials:MD, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8940 N KENDALL DR STE 400E
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-2175
Mailing Address - Country:US
Mailing Address - Phone:305-598-2020
Mailing Address - Fax:305-270-6418
Practice Address - Street 1:8940 N KENDALL DR STE 400E
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176
Practice Address - Country:US
Practice Address - Phone:305-598-2020
Practice Address - Fax:305-270-6418
Is Sole Proprietor?:No
Enumeration Date:2013-04-06
Last Update Date:2019-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYTP739207W00000X
IAR-09930207W00000X
OH35131152207W00000X
390200000X
FLME140160207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program