Provider Demographics
NPI:1306047519
Name:PAKRASHI, TARITA (MD)
Entity type:Individual
Prefix:
First Name:TARITA
Middle Name:
Last Name:PAKRASHI
Suffix:
Gender:F
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 936
Mailing Address - Street 2:EVMS MEDICAL GROUP
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23501-0936
Mailing Address - Country:US
Mailing Address - Phone:757-446-7100
Mailing Address - Fax:757-446-7455
Practice Address - Street 1:601 COLLEY AVE
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23507-1627
Practice Address - Country:US
Practice Address - Phone:757-446-7100
Practice Address - Fax:757-446-7455
Is Sole Proprietor?:No
Enumeration Date:2007-05-29
Last Update Date:2015-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101251831207V00000X, 207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1306047519OtherANTHEM BC/BS
VA1306047519OtherCIGNA
VA-012OtherTRICARE/CHAMPUS
NC1306047519Medicaid
VA1306047519OtherAETNA
VA1306047519Medicaid
VA1306047519OtherVIRGINIA HEALTH NETWORK
VA1306047519OtherUNITED HEALTHCARE
VA1306047519OtherCORVEL
VA1306047519OtherMULTIPLAN
VA1306047519OtherUSA MANAGED CARE
VA1306047519OtherVIRGINIA PREMIER HEALTH PLAN
VA10149056OtherOPTIMA HEALTH
VA1306047519OtherCOVENTRY NETWORK
VA1306047519OtherMULTIPLAN