Provider Demographics
NPI:1851664353
Name:FAMILY FIRST FAMILY HEALTH CENTER
Entity Type:Organization
Organization Name:FAMILY FIRST FAMILY HEALTH CENTER
Other - Org Name:NIKHIL S. PARULEKAR
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NIKHIL
Authorized Official - Middle Name:SHARAD
Authorized Official - Last Name:PARULEKAR
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:606-528-1234
Mailing Address - Street 1:PO BOX 327
Mailing Address - Street 2:
Mailing Address - City:CORBIN
Mailing Address - State:KY
Mailing Address - Zip Code:40702-0327
Mailing Address - Country:US
Mailing Address - Phone:606-528-1234
Mailing Address - Fax:606-528-2727
Practice Address - Street 1:141 E. CUMBERLAND GAP PKWY.
Practice Address - Street 2:
Practice Address - City:CORBIN
Practice Address - State:KY
Practice Address - Zip Code:40702
Practice Address - Country:US
Practice Address - Phone:606-528-1234
Practice Address - Fax:606-528-2727
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-14
Last Update Date:2012-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY02630207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64980022Medicaid
KY1763901Medicare PIN