Provider Demographics
NPI:1043859242
Name:PARIKH, ANKIT R (ARNP)
Entity Type:Individual
Prefix:MR
First Name:ANKIT
Middle Name:R
Last Name:PARIKH
Suffix:
Gender:M
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5264 COUNCIL ST NE STE 100
Mailing Address - Street 2:
Mailing Address - City:CEDAR RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:52402-2499
Mailing Address - Country:US
Mailing Address - Phone:319-221-8444
Mailing Address - Fax:
Practice Address - Street 1:5264 COUNCIL ST NE STE 100
Practice Address - Street 2:
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52402-2499
Practice Address - Country:US
Practice Address - Phone:319-221-8444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-06
Last Update Date:2023-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA157328363LF0000X
TX1085502363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily