Provider Demographics
NPI:1487603783
Name:PARIKH, PARMANAND KANTALAL (DOCTOR)
Entity type:Individual
Prefix:DR
First Name:PARMANAND
Middle Name:KANTALAL
Last Name:PARIKH
Suffix:
Gender:M
Credentials:DOCTOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8955 RIVERSHORE DR
Mailing Address - Street 2:
Mailing Address - City:NIAGARA FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:14304-4444
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:625 6TH ST
Practice Address - Street 2:
Practice Address - City:NIAGARA FALLS
Practice Address - State:NY
Practice Address - Zip Code:14301-1752
Practice Address - Country:US
Practice Address - Phone:716-282-2041
Practice Address - Fax:716-282-1266
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY159050-1174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00854224Medicaid
NY00854224Medicaid
NYD01438Medicare UPIN