Provider Demographics
NPI:1922060607
Name:PARULKAR, SMITA B (MD)
Entity Type:Individual
Prefix:
First Name:SMITA
Middle Name:B
Last Name:PARULKAR
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 1:5 NEPONSET ST FL STREET2
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01606-2714
Mailing Address - Country:US
Mailing Address - Phone:508-368-5532
Mailing Address - Fax:508-595-2021
Practice Address - Street 1:378 MAPLE AVE
Practice Address - Street 2:
Practice Address - City:SHREWSBURY
Practice Address - State:MA
Practice Address - Zip Code:01545-2673
Practice Address - Country:US
Practice Address - Phone:508-595-2513
Practice Address - Fax:508-595-2021
Is Sole Proprietor?:No
Enumeration Date:2006-04-06
Last Update Date:2019-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA153169207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
1150244OtherFIRST HEALTH
26930OtherHEALTHY START
A22723OtherMEDICARE B
042472266OtherONE HEALTH PLAN
26930OtherCHILDRENS MED SECURITY
784172OtherMVP HEALTH CARE
AA1240OtherHARVARD PILGRIM
J18068OtherBLUE CARE ELECT
1210399OtherCIGNA HEALTH PLAN
5268620OtherAETNA US HEALTHCARE
J18068OtherBLUE SHIELD INDEMNITY
042472266OtherPRIVATE HEALTHCARE SYSTEM
042472266OtherTHREE RIVERS
J18068OtherBLUE SHIELD HMO BLUE
MA3170616Medicaid
0401692OtherEVERCARE
3170616OtherMEDICAID WELFARE
991212OtherFALLON COMMUNITY HEALTH
1210399OtherCIGNA HEALTH PLAN
3170616OtherMEDICAID WELFARE