Provider Demographics
NPI:1366615346
Name:PRIYANKA MEDICAL INC
Entity type:Organization
Organization Name:PRIYANKA MEDICAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SUNIL
Authorized Official - Middle Name:R
Authorized Official - Last Name:PARIKH
Authorized Official - Suffix:
Authorized Official - Credentials:MD, MPH
Authorized Official - Phone:561-891-1578
Mailing Address - Street 1:5596 WEST NORVELL BRYANT HWY
Mailing Address - Street 2:SUITE 1 ( C/O SONAL AND BHARAT PARIKH)
Mailing Address - City:CRYSTAL RIVER
Mailing Address - State:FL
Mailing Address - Zip Code:33429-7572
Mailing Address - Country:US
Mailing Address - Phone:352-795-6999
Mailing Address - Fax:
Practice Address - Street 1:5596 WEST NORVELL BRYANT HWY
Practice Address - Street 2:SUITE 1 ( C/O SONAL AND BHARAT PARIKH MD )
Practice Address - City:CRYSTAL RIVER
Practice Address - State:FL
Practice Address - Zip Code:33429-7572
Practice Address - Country:US
Practice Address - Phone:352-795-6999
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-10
Last Update Date:2008-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 72266261QU0200X, 261QX0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QX0100XAmbulatory Health Care FacilitiesClinic/CenterOccupational Medicine
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care