Provider Demographics
NPI:1255339081
Name:PARIKH, KALPESH D (MD)
Entity type:Individual
Prefix:DR
First Name:KALPESH
Middle Name:D
Last Name:PARIKH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6310 ROBERTS RD
Mailing Address - Street 2:
Mailing Address - City:CORRYTON
Mailing Address - State:TN
Mailing Address - Zip Code:37721-3627
Mailing Address - Country:US
Mailing Address - Phone:865-688-8815
Mailing Address - Fax:865-688-8831
Practice Address - Street 1:6310 ROBERTS RD
Practice Address - Street 2:
Practice Address - City:CORRYTON
Practice Address - State:TN
Practice Address - Zip Code:37721-3627
Practice Address - Country:US
Practice Address - Phone:865-688-8815
Practice Address - Fax:865-688-8831
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-14
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN020291207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN0115713OtherBCBC PRVDR#
TN3702628Medicaid
TN0115713OtherBCBC PRVDR#
TN3057067Medicare ID - Type UnspecifiedMEIDCARE INDIVIDUAL #