Provider Demographics
NPI:1073628616
Name:GUJARATHI, PARUL RAMESH (MD)
Entity type:Individual
Prefix:DR
First Name:PARUL
Middle Name:RAMESH
Last Name:GUJARATHI
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:9293 STATE ROUTE 43
Mailing Address - Street 2:SUITE B
Mailing Address - City:STREETSBORO
Mailing Address - State:OH
Mailing Address - Zip Code:44241-5374
Mailing Address - Country:US
Mailing Address - Phone:330-626-1113
Mailing Address - Fax:330-626-1133
Practice Address - Street 1:9293 STATE ROUTE 43
Practice Address - Street 2:SUITE B
Practice Address - City:STREETSBORO
Practice Address - State:OH
Practice Address - Zip Code:44241-5374
Practice Address - Country:US
Practice Address - Phone:330-626-1113
Practice Address - Fax:330-626-1133
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2016-07-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH35-081224207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2399435Medicaid
OH2399435Medicaid
H86429Medicare UPIN