Provider Demographics
NPI:1295825909
Name:PARIKH, SHIRISH LALITKANT (MD)
Entity Type:Individual
Prefix:DR
First Name:SHIRISH
Middle Name:LALITKANT
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 1:1809 STONEBROOK LN
Mailing Address - Street 2:
Mailing Address - City:SAFETY HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34695-5503
Mailing Address - Country:US
Mailing Address - Phone:727-797-9937
Mailing Address - Fax:
Practice Address - Street 1:1809 STONEBROOK LN
Practice Address - Street 2:
Practice Address - City:SAFETY HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34695-5503
Practice Address - Country:US
Practice Address - Phone:727-797-9937
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 872122085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology