Provider Demographics
NPI:1285889766
Name:PARAKH, SHWETAMBARA (MD, FACS)
Entity type:Individual
Prefix:
First Name:SHWETAMBARA
Middle Name:
Last Name:PARAKH
Suffix:
Gender:F
Credentials:MD, FACS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:370 GRAND AVE SUITE 202
Mailing Address - Street 2:PARAKH PLASTIC SURGURY
Mailing Address - City:ENGLEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07631
Mailing Address - Country:US
Mailing Address - Phone:201-567-1919
Mailing Address - Fax:201-567-1955
Practice Address - Street 1:370 GRAND AVE SUITE 202
Practice Address - Street 2:PARAKH PLASTIC SURGURY
Practice Address - City:ENGLEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07631
Practice Address - Country:US
Practice Address - Phone:201-567-1919
Practice Address - Fax:201-567-1955
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-25
Last Update Date:2020-08-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA09755500208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery