Provider Demographics
NPI:1528132461
Name:PAREKH, KOMAL H (MD)
Entity type:Individual
Prefix:DR
First Name:KOMAL
Middle Name:H
Last Name:PAREKH
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 1:128 GRATIOT DR
Mailing Address - Street 2:
Mailing Address - City:MORRISVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27560-7712
Mailing Address - Country:US
Mailing Address - Phone:919-466-9873
Mailing Address - Fax:
Practice Address - Street 1:3124 BLUE RIDGE RD STE 102
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27612-8041
Practice Address - Country:US
Practice Address - Phone:919-782-0021
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-20
Last Update Date:2021-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2001-00757208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC89129MRMedicaid
NC7885274OtherCIGNA
NC129MROtherBCBS OF NC
NC195422OtherMEDCOST
NC7184268OtherAETNA