Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RN0300X | Nephrologist | 10376 | NV |
Y | 207RN0300X | Nephrologist | 30876 | AZ |
NPI | 1023027307 |
---|---|
Provider Name | Shehzad M Parekh |
First Address | Glendale, AZ 85305-2569 |
Second Address | Bullhead City, AZ 86442-7332 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2006 |
Last Update Date | 22/10/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
744658 | (05) | AZ |
H32223 | (02) |