Basic Information
| Provider Information | |||||||||
| NPI: | 1457367559 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | PAREKH | ||||||||
| FirstName: | NISHA | ||||||||
| MiddleName: | KISHORKUMAR | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 9D ALPINE COURT | ||||||||
| Address2: | WILKES-WOOD APTS | ||||||||
| City: | WILKES-BARRE | ||||||||
| State: | PA | ||||||||
| PostalCode: | 18702 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5708253890 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1111 EAST END BOULEVARD | ||||||||
| Address2: | VA MEDICAL CENTER | ||||||||
| City: | WILKES-BARRE | ||||||||
| State: | PA | ||||||||
| PostalCode: | 18711 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5708243521 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/31/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 215048 | NY | X | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | 212961 | MA | X | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.