Provider Demographics
NPI:1437123023
Name:PARIKH, YASHASWINI (MD)
Entity Type:Individual
Prefix:DR
First Name:YASHASWINI
Middle Name:
Last Name:PARIKH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5300 NORTHWATER WAY
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:GA
Mailing Address - Zip Code:30097
Mailing Address - Country:US
Mailing Address - Phone:770-840-9280
Mailing Address - Fax:770-840-9106
Practice Address - Street 1:6010 SINGLETON RD
Practice Address - Street 2:STE 209
Practice Address - City:NORCROSS
Practice Address - State:GA
Practice Address - Zip Code:30093
Practice Address - Country:US
Practice Address - Phone:770-248-0200
Practice Address - Fax:770-447-8500
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-13
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA24864208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA889287137AMedicaid
BP0365278OtherDEA
D40864Medicare UPIN