Provider Demographics
NPI:1073577144
Name:PARIKH, NITIN PRANLAL (MD)
Entity Type:Individual
Prefix:
First Name:NITIN
Middle Name:PRANLAL
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 1:3819 22ND PL
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79410-1117
Mailing Address - Country:US
Mailing Address - Phone:806-300-0289
Mailing Address - Fax:806-977-9322
Practice Address - Street 1:3819 22ND PL
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79410-1117
Practice Address - Country:US
Practice Address - Phone:806-300-0289
Practice Address - Fax:806-977-9322
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-14
Last Update Date:2021-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG9181207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX161096605Medicaid
TXTXB112334Medicare PIN
TX161096605Medicaid