MEDICARE: RUGVEDITA PARAKH MBBS, M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1912393083
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RUGVEDITA PARAKH MBBS, M.D.

Provider Business Mailing Address
First Line	:	1959NEPACIFIC ST
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98195-0001
Country	:	US
Telephone Number	:	206-598-4788
Fax Number	:

Provider Business Practice Location Address
First Line	:	1031 LAKE WASHINGTON BLVD NE
Second Line	:
City	:	MEDINA
State	:	WA
Zip	:	98039-3925
Country	:	US
Telephone Number	:	323-924-1144
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/15/2015
Last Update Date	:	10/15/2015

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