Provider Demographics
NPI:1295952323
Name:PAREEK, SMITA GAUTAM (MD)
Entity type:Individual
Prefix:DR
First Name:SMITA
Middle Name:GAUTAM
Last Name:PAREEK
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:117 PALMER ST
Mailing Address - Street 2:
Mailing Address - City:SAN RAMON
Mailing Address - State:CA
Mailing Address - Zip Code:94583-4783
Mailing Address - Country:US
Mailing Address - Phone:925-551-8457
Mailing Address - Fax:
Practice Address - Street 1:2231 GALAXY CT
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:CA
Practice Address - Zip Code:94520-4933
Practice Address - Country:US
Practice Address - Phone:925-685-7744
Practice Address - Fax:925-685-0462
Is Sole Proprietor?:No
Enumeration Date:2007-04-19
Last Update Date:2021-12-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAC50459207R00000X, 2083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine