Healthcare Provider Details

I. General information

NPI: 1225034150
Provider Name (Legal Business Name): RAHUL PARIMOO M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2005
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 PLANTATION PARK DR UNIT 4
BLUFFTON SC
29910-6035
US

IV. Provider business mailing address

7 PLANTATION PARK DR UNIT 4
BLUFFTON SC
29910-6035
US

V. Phone/Fax

Practice location:
  • Phone: 843-706-2296
  • Fax:
Mailing address:
  • Phone: 843-706-2296
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME128354
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number01069679A
License Number StateIN
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberM0212
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: