Healthcare Provider Details

I. General information

NPI: 1568705788
Provider Name (Legal Business Name): PRASHANT PAREKH M.D., M.B.A.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/06/2013
Last Update Date: 08/06/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8940 N KENDALL DR STE 400E
MIAMI FL
33176
US

IV. Provider business mailing address

8940 N KENDALL DR STE 400E
MIAMI FL
33176-2175
US

V. Phone/Fax

Practice location:
  • Phone: 305-598-2020
  • Fax: 305-270-6418
Mailing address:
  • Phone: 305-598-2020
  • Fax: 305-270-6418

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberTP739
License Number StateKY
# 3
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberR-09930
License Number StateIA
# 4
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number35131152
License Number StateOH
# 5
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberME140160
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: