Provider Demographics
NPI:1285727669
Name:PAREKH, UTPAL PAUL (MD)
Entity type:Individual
Prefix:DR
First Name:UTPAL
Middle Name:PAUL
Last Name:PAREKH
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 1:1849 W. ARMY TRAIL RD
Mailing Address - Street 2:
Mailing Address - City:ADDISON
Mailing Address - State:IL
Mailing Address - Zip Code:60101-2500
Mailing Address - Country:US
Mailing Address - Phone:630-629-5100
Mailing Address - Fax:630-629-5104
Practice Address - Street 1:1849 W. ARMY TRAIL RD
Practice Address - Street 2:
Practice Address - City:ADDISON
Practice Address - State:IL
Practice Address - Zip Code:60101-2500
Practice Address - Country:US
Practice Address - Phone:630-629-5100
Practice Address - Fax:630-629-5104
Is Sole Proprietor?:No
Enumeration Date:2006-09-30
Last Update Date:2012-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036078982207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILDF5439OtherRAILROAD MEDICARE
IL2207808OtherBLUE CROSS
IL036078982Medicaid
IL214828Medicare PIN
ILDF5439OtherRAILROAD MEDICARE