Provider Demographics
NPI:1235126657
Name:PARIKH, SHIRISH NANALAL (MD)
Entity Type:Individual
Prefix:DR
First Name:SHIRISH
Middle Name:NANALAL
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:PO BOX 13579
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19612-3579
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1800 HAMPDEN BLVD
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19604-1606
Practice Address - Country:US
Practice Address - Phone:610-376-4033
Practice Address - Fax:610-376-0391
Is Sole Proprietor?:No
Enumeration Date:2005-09-30
Last Update Date:2018-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA032460E207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001014029Medicaid
PA075825OtherHIGHMARK BLUE SHIELD
PA075825OtherHIGHMARK BLUE SHIELD