Provider Demographics
NPI:1649229709
Name:PARIKH, PARAG PARMANAND (MD)
Entity Type:Individual
Prefix:DR
First Name:PARAG
Middle Name:PARMANAND
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 1:5300 MILITARY RD
Mailing Address - Street 2:
Mailing Address - City:LEWISTON
Mailing Address - State:NY
Mailing Address - Zip Code:14092-1903
Mailing Address - Country:US
Mailing Address - Phone:716-297-4800
Mailing Address - Fax:
Practice Address - Street 1:908 NIAGARA FALLS BLVD STE 208
Practice Address - Street 2:
Practice Address - City:N TONAWANDA
Practice Address - State:NY
Practice Address - Zip Code:14120-2019
Practice Address - Country:US
Practice Address - Phone:716-692-3302
Practice Address - Fax:716-362-9518
Is Sole Proprietor?:No
Enumeration Date:2006-05-08
Last Update Date:2016-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY232077207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1092611OtherWELLCARE
FL001890200Medicaid
NY02564345Medicaid
FL001890200Medicaid
FLER904ZMedicare PIN