Provider Demographics
NPI:1407172414
Name:PARIKH, LAURA I (MD)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:I
Last Name:PARIKH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:I
Other - Last Name:LONGO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9707 MEDICAL CENTER DRIVE
Mailing Address - Street 2:SUITE 230
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850
Mailing Address - Country:US
Mailing Address - Phone:301-279-6060
Mailing Address - Fax:
Practice Address - Street 1:9707 MEDICAL CENTER DR STE 230
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-6339
Practice Address - Country:US
Practice Address - Phone:301-279-6060
Practice Address - Fax:301-279-6345
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
DCMD042145207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program