Provider Demographics
NPI:1407933781
Name:PARIKH, NUTAN KRISHNAKANT (MD LTD APC)
Entity Type:Individual
Prefix:
First Name:NUTAN
Middle Name:KRISHNAKANT
Last Name:PARIKH
Suffix:
Gender:M
Credentials:MD LTD APC
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 777550
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89077-7550
Mailing Address - Country:US
Mailing Address - Phone:702-471-7779
Mailing Address - Fax:702-471-0484
Practice Address - Street 1:2904 W HORIZON RIDGE PKWY
Practice Address - Street 2:STE
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052-5015
Practice Address - Country:US
Practice Address - Phone:702-471-7779
Practice Address - Fax:702-471-0484
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2013-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV5883207RH0003X
AZMD18958207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV002002339Medicaid
NVWJBDZ02Medicare PIN
NVE40039Medicare UPIN
NV002002339Medicaid