Provider Demographics
NPI:1467412957
Name:PARIKH, BAKUL K (MD)
Entity Type:Individual
Prefix:DR
First Name:BAKUL
Middle Name:K
Last Name:PARIKH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2006 HOGBACK RD LOWR LEVEL
Mailing Address - Street 2:SUITE 2
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48105-9750
Mailing Address - Country:US
Mailing Address - Phone:734-971-7716
Mailing Address - Fax:734-786-4915
Practice Address - Street 1:2006 HOGBACK RD LOWR LEVEL
Practice Address - Street 2:SUITE2
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48105-9750
Practice Address - Country:US
Practice Address - Phone:734-971-7716
Practice Address - Fax:734-786-2316
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-27
Last Update Date:2016-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI43010505392084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0826248Medicare PIN
F07611Medicare UPIN