Provider Demographics
NPI:1184408809
Name:PAREKH, TRUSHARKUMAR
Entity type:Individual
Prefix:
First Name:TRUSHARKUMAR
Middle Name:
Last Name:PAREKH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9150 E 109TH AVE
Mailing Address - Street 2:SUITE B1
Mailing Address - City:CROWN POINT
Mailing Address - State:IN
Mailing Address - Zip Code:46307
Mailing Address - Country:US
Mailing Address - Phone:219-488-1461
Mailing Address - Fax:219-488-1462
Practice Address - Street 1:9150 E 109TH AVE
Practice Address - Street 2:SUITE B1
Practice Address - City:CROWN POINT
Practice Address - State:IN
Practice Address - Zip Code:46307
Practice Address - Country:US
Practice Address - Phone:219-488-1461
Practice Address - Fax:219-488-1462
Is Sole Proprietor?:No
Enumeration Date:2023-08-23
Last Update Date:2023-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26025989A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist