Healthcare Provider Details

I. General information

NPI: 1437853918
Provider Name (Legal Business Name): RUESHIL KETAN PAREKH MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/28/2023
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5924 STONERIDGE DR STE 207
PLEASANTON CA
94588-5400
US

IV. Provider business mailing address

4610 AMIENS AVE
FREMONT CA
94555-2518
US

V. Phone/Fax

Practice location:
  • Phone: 925-685-6997
  • Fax:
Mailing address:
  • Phone: 714-651-5540
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number210989
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: