Provider Demographics
NPI:1720361900
Name:PAREKH, DARPAN H (PA-C)
Entity Type:Individual
Prefix:MR
First Name:DARPAN
Middle Name:H
Last Name:PAREKH
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 MORRIS DR
Mailing Address - Street 2:APT 101
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20707-4519
Mailing Address - Country:US
Mailing Address - Phone:510-676-2355
Mailing Address - Fax:
Practice Address - Street 1:9141 ALAKING CT
Practice Address - Street 2:STE 112
Practice Address - City:CAPITOL HEIGHTS
Practice Address - State:MD
Practice Address - Zip Code:20743-5043
Practice Address - Country:US
Practice Address - Phone:301-499-4655
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-23
Last Update Date:2011-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDC04581363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant