Provider Demographics
NPI:1760477780
Name:PAREKH, NIRULATA D (MD)
Entity Type:Individual
Prefix:DR
First Name:NIRULATA
Middle Name:D
Last Name:PAREKH
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 1:9 WESTSPRING WAY
Mailing Address - Street 2:
Mailing Address - City:LUTHERVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21093-1440
Mailing Address - Country:US
Mailing Address - Phone:410-561-1626
Mailing Address - Fax:
Practice Address - Street 1:8114 HARFORD RD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21234-5703
Practice Address - Country:US
Practice Address - Phone:410-661-5800
Practice Address - Fax:410-665-4179
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDD10402Medicare UPIN