Provider Demographics
NPI:1679851281
Name:PAREKH, RANJAN D (M D)
Entity Type:Individual
Prefix:DR
First Name:RANJAN
Middle Name:D
Last Name:PAREKH
Suffix:
Gender:F
Credentials:M D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15720 CUMBERLAND ST
Mailing Address - Street 2:
Mailing Address - City:RIVERVIEW
Mailing Address - State:MI
Mailing Address - Zip Code:48193-8173
Mailing Address - Country:US
Mailing Address - Phone:734-258-8007
Mailing Address - Fax:
Practice Address - Street 1:15720 CUMBERLAND ST
Practice Address - Street 2:
Practice Address - City:RIVERVIEW
Practice Address - State:MI
Practice Address - Zip Code:48193-8173
Practice Address - Country:US
Practice Address - Phone:734-258-8007
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-31
Last Update Date:2012-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301038776208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036090139OtherILLINOIS LICENCE NUMBER
MI4301038776OtherMICHIGAN LICENCE