Provider Demographics
NPI:1376782078
Name:PARIKH, AMOL MAHENDRA (DO)
Entity Type:Individual
Prefix:DR
First Name:AMOL
Middle Name:MAHENDRA
Last Name:PARIKH
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:710 S QUEEN ST
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19904-3567
Mailing Address - Country:US
Mailing Address - Phone:302-734-9888
Mailing Address - Fax:302-734-2780
Practice Address - Street 1:710 S QUEEN ST
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19904-3567
Practice Address - Country:US
Practice Address - Phone:302-734-9888
Practice Address - Fax:302-734-2780
Is Sole Proprietor?:No
Enumeration Date:2009-02-19
Last Update Date:2014-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC2 - 00107692085R0202X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology