Provider Demographics
NPI:1982667507
Name:PAREKH, NIRANJAN K (MD)
Entity type:Individual
Prefix:
First Name:NIRANJAN
Middle Name:K
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 1:818 N EMPORIA ST
Mailing Address - Street 2:SUITE 403
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67214-3729
Mailing Address - Country:US
Mailing Address - Phone:316-262-4467
Mailing Address - Fax:316-262-0706
Practice Address - Street 1:116 W ROSS BLVD
Practice Address - Street 2:
Practice Address - City:DODGE CITY
Practice Address - State:KS
Practice Address - Zip Code:67801-2131
Practice Address - Country:US
Practice Address - Phone:620-227-2482
Practice Address - Fax:620-227-6630
Is Sole Proprietor?:No
Enumeration Date:2006-04-07
Last Update Date:2011-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04293982085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
1286700005OtherDMERC REGION 1
1286700009OtherDMERC REGION 1
1286700012OtherDMERC REGION 1
1286700007OtherDMERC REGION 1
1286700015OtherDMERC REGION 1
1286700011OtherDMERC REGION 1
1286700003OtherDMERC REGION 1
1286700002OtherDMERC REGION 1
1286700004OtherDMERC REGION 1
1286700013OtherDMERC REGION 1
12867010010OtherDMERC REGION 1
KS100406290AMedicaid
1286700006OtherDMERC REGION 1
1286700008OtherDMERC REGION 1
1286700013OtherDMERC REGION 1
KS100406290AMedicaid