Provider Demographics
NPI:1932497781
Name:PARAJULI, NIRMALA (MD)
Entity Type:Individual
Prefix:
First Name:NIRMALA
Middle Name:
Last Name:PARAJULI
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 1:328 E HINES HILL RD
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:OH
Mailing Address - Zip Code:44236-1118
Mailing Address - Country:US
Mailing Address - Phone:330-342-6701
Mailing Address - Fax:330-342-6707
Practice Address - Street 1:328 E HINES HILL RD FL 2
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:OH
Practice Address - Zip Code:44236-1118
Practice Address - Country:US
Practice Address - Phone:330-342-6701
Practice Address - Fax:330-342-6707
Is Sole Proprietor?:No
Enumeration Date:2011-07-14
Last Update Date:2021-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.129831208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA003138289AMedicaid
GA111960Medicare Oscar/Certification