Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | X012810-1 | NY |
N | 111NN0400X | Neurology | 5866 | OR |
NPI | 1558724062 |
---|---|
Provider Name | Dr. Mehul Parekh |
First Address | Portland, OR 97239-4741 |
Second Address | Portland, OR 97239-3780 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/04/2016 |
Last Update Date | 11/04/2018 |