Basic Information
Provider Information
NPI: 1831416304
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PAREKH
FirstName: VIPUL
MiddleName: V
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 300 E MCBEE AVE FL 4
Address2:  
City: GREENVILLE
State: SC
PostalCode: 296012842
CountryCode: US
TelephoneNumber: 8645228603
FaxNumber:  
Practice Location
Address1: 200 PATEWOOD DR STE B350
Address2:  
City: GREENVILLE
State: SC
PostalCode: 296156337
CountryCode: US
TelephoneNumber: 8644544500
FaxNumber: 8644544505
Other Information
ProviderEnumerationDate: 04/23/2010
LastUpdateDate: 03/25/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 03/25/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084N0400X35.098847OHN Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
2084N0400X300978LAN Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
2084N0400X0116018998VAN Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
2084N0400X64437GAN Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
2084N0400X51780SCY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology

No ID Information.


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