Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | 64639 | GA |
NPI | 1013133594 |
---|---|
Provider Name | Namita Pareek |
First Address | Gainesville, GA 30501-0912 |
Second Address | Gainesville, GA 30501-7443 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/04/2007 |
Last Update Date | 07/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
202I100005 | (02) | GA |
662831375A | (05) | GA |
L-625 | LIMITED INSTITUTIONAL LIC (01) | MS |