Provider Demographics
NPI:1104008051
Name:MIHIR PARIKH, M.D. INC
Entity Type:Organization
Organization Name:MIHIR PARIKH, M.D. INC
Other - Org Name:ADVANCED OPHTHALMOLOGY INSTITUTE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DIRECTOR AND SURGEON
Authorized Official - Prefix:DR
Authorized Official - First Name:MIHIR
Authorized Official - Middle Name:YOGESH
Authorized Official - Last Name:PARIKH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:858-480-6872
Mailing Address - Street 1:8837 VILLA LA JOLLA DR UNIT 2374
Mailing Address - Street 2:
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92039-2374
Mailing Address - Country:US
Mailing Address - Phone:858-480-6872
Mailing Address - Fax:858-558-6555
Practice Address - Street 1:3655 NOBEL DR
Practice Address - Street 2:SUITE 130
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92122-1003
Practice Address - Country:US
Practice Address - Phone:858-558-6000
Practice Address - Fax:858-558-6555
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-03
Last Update Date:2013-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA68508Medicare PIN