Provider Demographics
NPI:1710951884
Name:PARULKAR, REKHA SUNIL (MD)
Entity Type:Individual
Prefix:
First Name:REKHA
Middle Name:SUNIL
Last Name:PARULKAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:355 E CAMPUS VIEW BLVD STE 180
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43235-5680
Mailing Address - Country:US
Mailing Address - Phone:614-840-1688
Mailing Address - Fax:614-840-1689
Practice Address - Street 1:355 E CAMPUS VIEW BLVD STE 180
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43235-5680
Practice Address - Country:US
Practice Address - Phone:614-840-1688
Practice Address - Fax:614-840-1689
Is Sole Proprietor?:No
Enumeration Date:2006-02-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35053632207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV0046019000Medicaid
OH0632480Medicaid
OHP00465506OtherRR MEDICARE
OH0632480Medicaid
OH0585497Medicare PIN
OH0585498Medicare PIN
OHA16506Medicare UPIN