Provider Demographics
NPI:1083693667
Name:PARIKH, SHOBHA V (DMD)
Entity Type:Individual
Prefix:DR
First Name:SHOBHA
Middle Name:V
Last Name:PARIKH
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4868 SAN FELIPE RD
Mailing Address - Street 2:SUITE 120
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95135-1278
Mailing Address - Country:US
Mailing Address - Phone:408-528-8303
Mailing Address - Fax:408-528-8305
Practice Address - Street 1:4868 SAN FELIPE RD
Practice Address - Street 2:SUITE 120
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95135-1278
Practice Address - Country:US
Practice Address - Phone:408-528-8303
Practice Address - Fax:408-528-8305
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA457471223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice