Provider Demographics
NPI:1437137452
Name:PARIKH, RENU D (MD)
Entity Type:Individual
Prefix:DR
First Name:RENU
Middle Name:D
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:PO BOX 140458
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10314-0458
Mailing Address - Country:US
Mailing Address - Phone:718-877-9062
Mailing Address - Fax:
Practice Address - Street 1:800 MANOR RD
Practice Address - Street 2:SUITE 7
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10314-7036
Practice Address - Country:US
Practice Address - Phone:718-877-9062
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-09
Last Update Date:2018-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY159332207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0018559OtherGROUP HEALTH INCORPORATED
NY00914392Medicaid
NY061599055PA01 & 02OtherCARE PLUS
NY109074OtherUSFHP
NY2000246OtherMEDICARE COMPLETE
NY050013426OtherRAILROAD MEDICARE
NYAETNA HMOOther0009000
NY01659905500OtherTOUCHSTONE
NY1000026602OtherAFFINITY HEALTH PLAN
NY159332OtherHEALTH PLAN OF GREATER NY
NY0335923OtherCIGNA
NY261410201 & 301OtherHEALTH PLUS
NYCAN15932-6OtherWORKER'S COMPENSATION
NYNS4433OtherOXFORD HEALTH PLANS
NY165996OtherELDER PLAN
NY040708000044OtherFIDELIS
NY061599055OtherTAX ID
NY159332OtherSTATE LICENSURE
NY040708000044OtherFIDELIS
NY061599055PA01 & 02OtherCARE PLUS