Healthcare Provider Details

I. General information

NPI: 1023228293
Provider Name (Legal Business Name): PREETI PAREKH MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: PREETI SHARMA MD

II. Dates (important events)

Enumeration Date: 05/23/2007
Last Update Date: 08/09/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4420 LAKE BOONE TRL
RALEIGH NC
27607-7505
US

IV. Provider business mailing address

133 TRUMBELL CIR
MORRISVILLE NC
27560-7714
US

V. Phone/Fax

Practice location:
  • Phone: 919-784-3063
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207ZH0000X
TaxonomyHematology (Pathology) Physician
License Number2009-01020
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License Number2009-01020
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: