Provider Demographics
NPI:1033312624
Name:GILARDI, PARUL (MBBS)
Entity type:Individual
Prefix:DR
First Name:PARUL
Middle Name:
Last Name:GILARDI
Suffix:
Gender:F
Credentials:MBBS
Other - Prefix:DR
Other - First Name:PARUL
Other - Middle Name:
Other - Last Name:PENKAR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MBBS
Mailing Address - Street 1:11 HAMLIN ST UNIT 5
Mailing Address - Street 2:
Mailing Address - City:SOUTH BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02127-4156
Mailing Address - Country:US
Mailing Address - Phone:909-771-8500
Mailing Address - Fax:
Practice Address - Street 1:55 FRUIT ST # FND-210
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-2696
Practice Address - Country:US
Practice Address - Phone:617-724-4270
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-09
Last Update Date:2020-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2311702085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology