Provider Demographics
NPI:1669441200
Name:PARANJAPE, SUVINAY BHALACHANDRA (MD)
Entity Type:Individual
Prefix:DR
First Name:SUVINAY
Middle Name:BHALACHANDRA
Last Name:PARANJAPE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1134 N ROAD ST STE 6
Mailing Address - Street 2:
Mailing Address - City:ELIZABETH CITY
Mailing Address - State:NC
Mailing Address - Zip Code:27909-3365
Mailing Address - Country:US
Mailing Address - Phone:252-335-5128
Mailing Address - Fax:252-562-6704
Practice Address - Street 1:1134 N ROAD ST STE 6
Practice Address - Street 2:
Practice Address - City:ELIZABETH CITY
Practice Address - State:NC
Practice Address - Zip Code:27909-3365
Practice Address - Country:US
Practice Address - Phone:252-335-5128
Practice Address - Fax:252-562-6704
Is Sole Proprietor?:No
Enumeration Date:2006-03-16
Last Update Date:2018-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200401296207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
2129589OtherALLIANCE
P00217273OtherRAILROAD MEDICARE
NC138UXOtherBCBSNC
NCD9819OtherMEDCOST INSURANCE
20-3894718OtherPHCS
H40573Medicare UPIN
NC2034762Medicare ID - Type Unspecified