Provider Demographics
NPI:1205037314
Name:PARIKH, MADHAVI UDAY (RPH)
Entity Type:Individual
Prefix:
First Name:MADHAVI
Middle Name:UDAY
Last Name:PARIKH
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1543 RANCHO HILLS DR
Mailing Address - Street 2:
Mailing Address - City:CHINO HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91709-6247
Mailing Address - Country:US
Mailing Address - Phone:909-754-9000
Mailing Address - Fax:909-613-1560
Practice Address - Street 1:1543 RANCHO HILLS DR
Practice Address - Street 2:
Practice Address - City:CHINO HILLS
Practice Address - State:CA
Practice Address - Zip Code:91709-6247
Practice Address - Country:US
Practice Address - Phone:909-754-9000
Practice Address - Fax:909-613-1560
Is Sole Proprietor?:No
Enumeration Date:2007-05-29
Last Update Date:2016-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH46729183500000X, 1835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist