Provider Demographics
NPI:1932155504
Name:LITTLE, PARUL D (MD)
Entity Type:Individual
Prefix:DR
First Name:PARUL
Middle Name:D
Last Name:LITTLE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:PARUL
Other - Middle Name:P
Other - Last Name:DAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:5955 HARBOUR PARK DR
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23112-2163
Mailing Address - Country:US
Mailing Address - Phone:804-744-4495
Mailing Address - Fax:804-744-0751
Practice Address - Street 1:5955 HARBOUR PARK DR
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23112-2163
Practice Address - Country:US
Practice Address - Phone:804-744-4495
Practice Address - Fax:804-744-0751
Is Sole Proprietor?:No
Enumeration Date:2006-05-25
Last Update Date:2013-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0061023174400000X
VA0101241856208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD402945302Medicaid
MD402945302Medicaid