Individual
ROBERT PARKE
Active
Individual
ROBERT PARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
G27430
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1447410519
NPI - TYPE 2
—
01
—
1720247455
NPI - TYPE 2
—
01
—
1912919804
NPI - TYPE 2
CA
01
—
290003379
RAIL ROAD MEDICARE - PROVIDER PTAN
CA
01
—
CG5665
RAIL ROAD MEDICARE - GROUP PTAN
CA
01
—
W11996
MEDICARE PTAN - TYPE 2
CA
01
—
W1514
MEDICARE PTAN - TYPE 2
CA
01
—
W1514B
MEDICARE PTAN - TYPE 2
CA
Enumeration date
03/14/2006
Last updated
10/26/2020
Update your record
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