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Individual

BINA K PAREKH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
9660 WICKER AVENUE, ST JOHN, IN 46373-9487
(219) 365-1166
(219) 365-8852
Mailing address
9660 WICKER AVENUE, ST JOHN, IN 46373-9487
(219) 365-1166
(219) 365-8852

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02003629A
IN
207Q00000X
Family Medicine Physician
5101015986
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1598712390
GROUP NPI
MI
05
4930188
MI
05
4930203
MI
05
4930221
MI
05
4930240
MI
05
4930277
MI
01
5101015986
STATE LICENSE NUMBER
MI
Enumeration date
10/10/2006
Last updated
07/21/2010
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