Provider Demographics
NPI:1093827651
Name:PARIKH, BHADRESHKUMAR HASMUKHLAL (MD)
Entity Type:Individual
Prefix:
First Name:BHADRESHKUMAR
Middle Name:HASMUKHLAL
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 1:7707 N UNIVERSITY DR
Mailing Address - Street 2:STE 207
Mailing Address - City:TAMARAC
Mailing Address - State:FL
Mailing Address - Zip Code:33321-2950
Mailing Address - Country:US
Mailing Address - Phone:954-721-8118
Mailing Address - Fax:954-721-8128
Practice Address - Street 1:7707 N UNIVERSITY DR
Practice Address - Street 2:STE 207
Practice Address - City:TAMARAC
Practice Address - State:FL
Practice Address - Zip Code:33321-2950
Practice Address - Country:US
Practice Address - Phone:954-721-8118
Practice Address - Fax:954-721-8128
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2008-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 760452084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLG79337Medicare UPIN
FL44322WMedicare PIN