Provider Demographics
NPI:1619987088
Name:PAREKH, HARSHAD (MD)
Entity Type:Individual
Prefix:
First Name:HARSHAD
Middle Name:
Last Name:PAREKH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:HARSHADRAI
Other - Middle Name:MAGANLAL
Other - Last Name:PAREKH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:399 OCEAN TER
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10301-4519
Mailing Address - Country:US
Mailing Address - Phone:718-727-7882
Mailing Address - Fax:718-727-7882
Practice Address - Street 1:399 OCEAN TER
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10301-4519
Practice Address - Country:US
Practice Address - Phone:718-727-7882
Practice Address - Fax:718-727-7882
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY109536-12085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00194358Medicaid
C10028Medicare UPIN
446932Medicare ID - Type Unspecified