Provider Demographics
NPI:1467695692
Name:PARIKH, DHWANI (MD)
Entity Type:Individual
Prefix:DR
First Name:DHWANI
Middle Name:
Last Name:PARIKH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:DHWANI
Other - Middle Name:
Other - Last Name:PARIKH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 416457
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02241-6457
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:651 WILLOW GROVE ST
Practice Address - Street 2:
Practice Address - City:HACKETTSTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07840-1799
Practice Address - Country:US
Practice Address - Phone:908-441-1502
Practice Address - Fax:908-441-1167
Is Sole Proprietor?:No
Enumeration Date:2009-04-17
Last Update Date:2016-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
NY274212-12085R0001X
NJ25MA093399002085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP01366879OtherRR MEDICARE
NY1304938POtherHIP
NY274212-A1QOtherHEALTH FIRST
NY9805990OtherAETNA
NY02790704OtherAMERIGROUP
NY1302605POtherHIP
NY140829000137OtherFIDELIS CARE
NY370658OtherUS FAMILY HEALTH PLAN
NY03916149Medicaid
NY3862985OtherGHI
NY370658OtherUS FAMILY HEALTH PLAN