Provider Demographics
NPI:1275671406
Name:PARIKH, PANKAJKUMAR Y (MD)
Entity Type:Individual
Prefix:DR
First Name:PANKAJKUMAR
Middle Name:Y
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 100371
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32607-0371
Mailing Address - Country:US
Mailing Address - Phone:352-318-3889
Mailing Address - Fax:352-318-3889
Practice Address - Street 1:9904 SW 23RD LN
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32607-3252
Practice Address - Country:US
Practice Address - Phone:352-318-3889
Practice Address - Fax:352-318-3889
Is Sole Proprietor?:No
Enumeration Date:2007-02-01
Last Update Date:2015-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME61626207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL257971500Medicaid
FL257971500Medicaid
FL18917HMedicare ID - Type Unspecified