Provider Demographics
NPI:1699715029
Name:PAREKH, DIPEN J (MD)
Entity type:Individual
Prefix:
First Name:DIPEN
Middle Name:J
Last Name:PAREKH
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1611 NW 12TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33136-1005
Mailing Address - Country:US
Mailing Address - Phone:305-243-6591
Mailing Address - Fax:210-567-6830
Practice Address - Street 1:1611 NW 12TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136-1005
Practice Address - Country:US
Practice Address - Phone:305-243-6591
Practice Address - Fax:210-567-6830
Is Sole Proprietor?:No
Enumeration Date:2006-06-07
Last Update Date:2023-10-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME113013208800000X, 208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX183268501Medicaid