Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223X0400X | Orthodontists | 30.022056 | OH |
N | 1223X0400X | Orthodontists | 8434 | KY |
NPI | 1053470005 |
---|---|
Provider Name | Dr. Sanjay Parekh |
First Address | Mason, OH 45040-5017 |
Second Address | Ashland, KY 41101-7747 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/12/2006 |
Last Update Date | 21/11/2013 |