Provider Demographics
NPI:1912393083
Name:PARAKH, RUGVEDITA (MBBS, MD)
Entity Type:Individual
Prefix:
First Name:RUGVEDITA
Middle Name:
Last Name:PARAKH
Suffix:
Gender:F
Credentials:MBBS, MD
Other - Prefix:
Other - First Name:ARUNA
Other - Middle Name:
Other - Last Name:MARDA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MBBS, MD
Mailing Address - Street 1:1959NEPACIFIC ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98195-0001
Mailing Address - Country:US
Mailing Address - Phone:206-598-4788
Mailing Address - Fax:
Practice Address - Street 1:1031 LAKE WASHINGTON BLVD NE
Practice Address - Street 2:
Practice Address - City:MEDINA
Practice Address - State:WA
Practice Address - Zip Code:98039-3925
Practice Address - Country:US
Practice Address - Phone:323-924-1144
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-04-15
Last Update Date:2015-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program