Provider Demographics
NPI:1205198629
Name:PARIKH, PURAK CONANT (MD)
Entity Type:Individual
Prefix:DR
First Name:PURAK
Middle Name:CONANT
Last Name:PARIKH
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5 COLISEUM AVENUE
Mailing Address - Street 2:NASHUA EYE ASSOCIATES, P.A.
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03063-3292
Mailing Address - Country:US
Mailing Address - Phone:603-882-9800
Mailing Address - Fax:603-882-0556
Practice Address - Street 1:5 COLISEUM AVENUE
Practice Address - Street 2:NASHUA EYE ASSOCIATES, P.A.
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03063-3292
Practice Address - Country:US
Practice Address - Phone:603-882-9800
Practice Address - Fax:603-882-0056
Is Sole Proprietor?:No
Enumeration Date:2012-06-12
Last Update Date:2022-08-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMT202104207W00000X, 390200000X
MI4301109084207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program