Healthcare Provider Details

I. General information

NPI: 1710287735
Provider Name (Legal Business Name): DEEPIKA K PAREKH MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2010
Last Update Date: 10/25/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17306 W 7 MILE RD
DETROIT MI
48235-3043
US

IV. Provider business mailing address

17306 W 7 MILE RD
DETROIT MI
48235-3043
US

V. Phone/Fax

Practice location:
  • Phone: 313-255-4820
  • Fax: 313-255-1338
Mailing address:
  • Phone: 313-255-4820
  • Fax: 313-255-1338

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number4301035876
License Number StateMI

VIII. Authorized Official

Name: DR. DEEPIKA K PAREKH
Title or Position: PRESIDENT
Credential: MD
Phone: 313-255-4820