Provider Demographics
NPI:1467409755
Name:PARIKH, NARESH K (MD)
Entity Type:Individual
Prefix:
First Name:NARESH
Middle Name:K
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:PO BOX 769609
Mailing Address - Street 2:
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30076-8224
Mailing Address - Country:US
Mailing Address - Phone:770-730-5800
Mailing Address - Fax:770-730-5803
Practice Address - Street 1:6330 PRIMROSE HILL CT
Practice Address - Street 2:
Practice Address - City:NORCROSS
Practice Address - State:GA
Practice Address - Zip Code:30092-4544
Practice Address - Country:US
Practice Address - Phone:770-903-0144
Practice Address - Fax:770-903-0145
Is Sole Proprietor?:No
Enumeration Date:2006-05-30
Last Update Date:2017-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA028851207RC0000X, 207R00000X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000332318MMedicaid
GA000332318NMedicaid
GA000332318CMedicaid
GA000332318AMedicaid
GA000332318JMedicaid
GA1609816123OtherGEORGIA CLINIC PC GROUP NPI #
GA000332318IMedicaid
GA000332318NMedicaid
GA000332318IMedicaid
GA000332318CMedicaid