Provider Demographics
NPI:1689958266
Name:CHAUDHARI, PARIMALKUMAR (MD)
Entity Type:Individual
Prefix:DR
First Name:PARIMALKUMAR
Middle Name:
Last Name:CHAUDHARI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:392 RINEHART RD STE 3040
Mailing Address - Street 2:
Mailing Address - City:LAKE MARY
Mailing Address - State:FL
Mailing Address - Zip Code:32746-2548
Mailing Address - Country:US
Mailing Address - Phone:321-841-7856
Mailing Address - Fax:407-265-2266
Practice Address - Street 1:392 RINEHART RD STE 3040
Practice Address - Street 2:
Practice Address - City:LAKE MARY
Practice Address - State:FL
Practice Address - Zip Code:32746-2548
Practice Address - Country:US
Practice Address - Phone:321-841-7856
Practice Address - Fax:407-265-2266
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-30
Last Update Date:2021-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.129301207RP1001X
FLME140598207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0231788Medicaid
FL102742000Medicaid