Provider Demographics
NPI:1427008366
Name:PARIKH, PANKAJ N (MD)
Entity Type:Individual
Prefix:MR
First Name:PANKAJ
Middle Name:N
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 1:3406 SIX FORKS RD
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-7234
Mailing Address - Country:US
Mailing Address - Phone:919-881-7770
Mailing Address - Fax:919-510-4600
Practice Address - Street 1:3406 SIX FORKS RD
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-7234
Practice Address - Country:US
Practice Address - Phone:919-881-7770
Practice Address - Fax:919-510-4600
Is Sole Proprietor?:No
Enumeration Date:2006-05-11
Last Update Date:2020-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9400604174400000X
NC9400607207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8965483Medicaid
NCF49810Medicare UPIN
NC8965483Medicaid