NPIMap

Organization Active NPI

Deepika K Parekh MD PC

  • Primary Care Clinic/Center
  • Detroit, MI
National Provider Identifier
1710287735
Registry record updated Oct 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
4301035876 Issued in MI
Legal business name
DEEPIKA K PAREKH MD PC
Practice address
17306 W 7 Mile Rd
Detroit, MI 48235-3043
Phone
(313) 255-4820
Fax
(313) 255-1338
NPI assigned
Oct 25, 2010
Last updated
Oct 25, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2010

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

Authorized official

Name
Dr. Deepika K Parekh, MDNPI 1205851433
Title
President
Phone
(313) 255-4820

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 4301035876 MI Primary

Addresses

Primary practice location

17306 W 7 Mile Rd
Detroit, MI 48235-3043

Mailing address

17306 W 7 Mile Rd
Detroit, MI 48235-3043
Phone (313) 255-4820

Other identifiers 2

IdentifierTypeStateIssuer
0808227431OtherMIBLUE CROSS BLUE SHIELD PROVIDER CODE
10-1097809MedicaidMI

National Provider Directory

National Provider Directory

Locations

17306 W 7 Mile Rd
Detroit, MI 48235
Phone (313) 245-1426

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1287964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287964800000",
    "number": "1710287735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17306 W 7 MILE RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482353043",
            "telephone_number": "313-255-4820",
            "fax_number": "313-255-1338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17306 W 7 MILE RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482353043",
            "telephone_number": "313-255-4820",
            "fax_number": "313-255-1338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEEPIKA K PAREKH MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-25",
        "last_updated": "2010-10-25",
        "status": "A",
        "authorized_official_last_name": "PAREKH",
        "authorized_official_first_name": "DEEPIKA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-255-4820",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MI",
            "license": "4301035876",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD PROVIDER CODE",
            "identifier": "0808227431",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10-1097809",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2010; 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.