Healthcare Provider Details

I. General information

NPI: 1124125083
Provider Name (Legal Business Name): NEELA PAREKH, MD, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15000 LOS GATOS BLVD SUITE#3
LOS GATOS CA
95032-2017
US

IV. Provider business mailing address

15000 LOS GATOS BLVD SUITE#3
LOS GATOS CA
95032-2017
US

V. Phone/Fax

Practice location:
  • Phone: 408-356-6167
  • Fax: 408-356-0478
Mailing address:
  • Phone: 408-356-6167
  • Fax: 408-356-0478

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA50473
License Number StateCA

VIII. Authorized Official

Name: NEELA PAREKH
Title or Position: PRESIDENT
Credential: M.D.
Phone: 408-356-6167