Provider Demographics
NPI:1023163573
Name:PARIKH, AMAR A (MD)
Entity type:Individual
Prefix:DR
First Name:AMAR
Middle Name:A
Last Name:PARIKH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1040 MAIN ST
Mailing Address - Street 2:PO BOX 1360
Mailing Address - City:DANVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24541-1816
Mailing Address - Country:US
Mailing Address - Phone:434-572-6565
Mailing Address - Fax:434-572-4322
Practice Address - Street 1:2045 HAMILTON BOULEVARD
Practice Address - Street 2:
Practice Address - City:SOUTH BOSTON
Practice Address - State:VA
Practice Address - Zip Code:24592
Practice Address - Country:US
Practice Address - Phone:434-572-6565
Practice Address - Fax:434-572-4322
Is Sole Proprietor?:No
Enumeration Date:2007-01-24
Last Update Date:2015-06-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL26276207RN0300X
VA0101241324207RN0300X
NC2007-00562207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5908219Medicaid
VA2166734OtherMAMSI
VA1023163573Medicaid
VA1534428OtherCIGNA HEALTHCARE OF VA
VA348308OtherCIGNA
VA301107OtherANTHEM
VA301107OtherANTHEM
NCNCM085AMedicare PIN
VA1023163573Medicaid