Provider Demographics
NPI:1710954557
Name:PARULKAR, SUNIL SITARUM (MD)
Entity Type:Individual
Prefix:
First Name:SUNIL
Middle Name:SITARUM
Last Name:PARULKAR
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 1:205 W 6TH ST
Mailing Address - Street 2:
Mailing Address - City:EAST LIVERPOOL
Mailing Address - State:OH
Mailing Address - Zip Code:43920
Mailing Address - Country:US
Mailing Address - Phone:330-386-9212
Mailing Address - Fax:330-386-6191
Practice Address - Street 1:205 W 6TH ST
Practice Address - Street 2:
Practice Address - City:EAST LIVERPOOL
Practice Address - State:OH
Practice Address - Zip Code:43920
Practice Address - Country:US
Practice Address - Phone:330-386-9212
Practice Address - Fax:330-386-6191
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-01
Last Update Date:2012-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35053687208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0632499Medicaid
A16506Medicare UPIN
OH0632499Medicaid