Provider Demographics
NPI:1134282924
Name:PARIKH, NIRANJANA (MD)
Entity Type:Individual
Prefix:DR
First Name:NIRANJANA
Middle Name:
Last Name:PARIKH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1154 FULTON ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11216-1877
Mailing Address - Country:US
Mailing Address - Phone:718-857-7170
Mailing Address - Fax:718-857-7170
Practice Address - Street 1:1154 FULTON ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11216-1877
Practice Address - Country:US
Practice Address - Phone:718-857-7170
Practice Address - Fax:718-857-7170
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-19
Last Update Date:2010-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY133969174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYB95524Medicare UPIN