Park Gastroenterology, PLLC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

PARK GASTROENTEROLOGY, PLLC

Practice address

7560 Carpenter Fire Station Rd Ste 303
Cary, NC 27519-9637

Phone

(919) 650-6461

NPI assigned

Dec 24, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Vallisitaram Prasad Kodali, M.D.

Title

Owner

Phone

(919) 650-6461

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1577145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577145600000",
    "number": "1346889292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7560 CARPENTER FIRE STATION RD STE 303",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275199637",
            "telephone_number": "919-650-6461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7560 CARPENTER FIRE STATION RD STE 303",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275199637",
            "telephone_number": "919-650-6461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK GASTROENTEROLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-24",
        "last_updated": "2019-12-24",
        "certification_date": "2019-12-24",
        "status": "A",
        "authorized_official_last_name": "KODALI",
        "authorized_official_first_name": "VALLISITARAM",
        "authorized_official_middle_name": "PRASAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-650-6461",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Himanshu P Parikh, M.D.
• Nirja Rakesh Parikh, PT, DPT
• Roopal Parikh, PHARM D
• Valentino Parini, DC
• Meghan Belanger Paris, DPT
• Park Psychiatry, PLLC
• Park Urgent Care PLLC
• Eliza Myung Park, M.D.
• Eunjin Lynn Park, CRNA
• Hanna Park, PHARMD

• Gastroenterology Physician in Cary, NC
• Providers in Cary, NC by specialty
• Gastroenterology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.