Provider Demographics
NPI:1225034150
Name:PARIMOO, RAHUL (MD)
Entity type:Individual
Prefix:DR
First Name:RAHUL
Middle Name:
Last Name:PARIMOO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 708817
Mailing Address - Street 2:
Mailing Address - City:SANDY
Mailing Address - State:UT
Mailing Address - Zip Code:84070-8817
Mailing Address - Country:US
Mailing Address - Phone:866-869-2395
Mailing Address - Fax:801-352-7976
Practice Address - Street 1:414 NAVARRO ST
Practice Address - Street 2:SUITE 1405
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78205-2516
Practice Address - Country:US
Practice Address - Phone:210-579-3036
Practice Address - Fax:210-587-8167
Is Sole Proprietor?:No
Enumeration Date:2005-06-24
Last Update Date:2016-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM0212207R00000X
IN01069679A207R00000X
FLME128354207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN201024920Medicaid
IN000000735865OtherBCBS
TX8J3545Medicare PIN
INM400057626Medicare PIN
INP00999234Medicare PIN
IN201024920Medicaid