Provider Demographics
NPI:1174070478
Name:PARIKH, NIYATI (PHARM D)
Entity type:Individual
Prefix:DR
First Name:NIYATI
Middle Name:
Last Name:PARIKH
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1568 DUNWOODY CLUB XING
Mailing Address - Street 2:
Mailing Address - City:DUNWOODY
Mailing Address - State:GA
Mailing Address - Zip Code:30338-3400
Mailing Address - Country:US
Mailing Address - Phone:678-458-9005
Mailing Address - Fax:404-851-6386
Practice Address - Street 1:1568 DUNWOODY CLUB XING
Practice Address - Street 2:
Practice Address - City:DUNWOODY
Practice Address - State:GA
Practice Address - Zip Code:30338-3400
Practice Address - Country:US
Practice Address - Phone:678-458-9005
Practice Address - Fax:404-851-6386
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-02
Last Update Date:2016-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH021384183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist