Provider Demographics
NPI:1205244472
Name:NORTHWEST OBSTETRICS AND GYNECOLOGY PLLC
Entity type:Organization
Organization Name:NORTHWEST OBSTETRICS AND GYNECOLOGY PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NIMISH
Authorized Official - Middle Name:MUKESH
Authorized Official - Last Name:PAREKH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-943-6288
Mailing Address - Street 1:3617 NW 58TH ST STE 200
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73112-4423
Mailing Address - Country:US
Mailing Address - Phone:405-943-6288
Mailing Address - Fax:405-942-0866
Practice Address - Street 1:3617 NW 58TH ST STE 200
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112-4423
Practice Address - Country:US
Practice Address - Phone:405-943-6288
Practice Address - Fax:405-942-0866
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-31
Last Update Date:2024-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty