Provider Demographics
NPI:1073588414
Name:PARIKH, SANJAY R (MD)
Entity Type:Individual
Prefix:DR
First Name:SANJAY
Middle Name:R
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 1:673 E RIVER ST
Mailing Address - Street 2:
Mailing Address - City:ELYRIA
Mailing Address - State:OH
Mailing Address - Zip Code:44035-5935
Mailing Address - Country:US
Mailing Address - Phone:440-323-6422
Mailing Address - Fax:440-323-4814
Practice Address - Street 1:5001 TRANSPORTATION DR STE 201
Practice Address - Street 2:
Practice Address - City:SHEFFIELD VILLAGE
Practice Address - State:OH
Practice Address - Zip Code:44054-2850
Practice Address - Country:US
Practice Address - Phone:440-328-3435
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-21
Last Update Date:2021-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35063023P174400000X
OH35-0630232084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000131154OtherANTHEM BCBS
OH130009921OtherRAILROAD MEDICARE
OH0873961Medicaid
OHPA0715021Medicare PIN
OH000000131154OtherANTHEM BCBS