Provider Demographics
NPI:1013133594
Name:PAREEK, NAMITA (MD)
Entity Type:Individual
Prefix:
First Name:NAMITA
Middle Name:
Last Name:PAREEK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:NAMITA
Other - Middle Name:
Other - Last Name:PUROHIT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 907790
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30501-0912
Mailing Address - Country:US
Mailing Address - Phone:678-997-2140
Mailing Address - Fax:
Practice Address - Street 1:2324 LIMESTONE OVERLOOK
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30501-7443
Practice Address - Country:US
Practice Address - Phone:678-997-2105
Practice Address - Fax:770-536-3203
Is Sole Proprietor?:No
Enumeration Date:2007-04-17
Last Update Date:2020-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA064639207ZP0102X
GA64639207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA662831375AMedicaid
MSL-625OtherLIMITED INSTITUTIONAL LIC
GA662831375AMedicaid