Provider Demographics
NPI:1013195262
Name:PARIKH, GARGI (REGISTERED DIETITIAN)
Entity Type:Individual
Prefix:
First Name:GARGI
Middle Name:
Last Name:PARIKH
Suffix:
Gender:F
Credentials:REGISTERED DIETITIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1431 CRESTRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-1535
Mailing Address - Country:US
Mailing Address - Phone:202-964-1095
Mailing Address - Fax:855-932-4906
Practice Address - Street 1:2101 MEDICAL PARK DR STE 211
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20902-4053
Practice Address - Country:US
Practice Address - Phone:202-964-1095
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-08
Last Update Date:2023-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA931788133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD931788Medicaid
CA931788OtherREGISTERED DIETITIAN