Provider Demographics
NPI:1669652426
Name:PARIKH, DIPEN (MD)
Entity Type:Individual
Prefix:
First Name:DIPEN
Middle Name:
Last Name:PARIKH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1856 PRECINCT LINE RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:HURST
Mailing Address - State:TX
Mailing Address - Zip Code:76054-3172
Mailing Address - Country:US
Mailing Address - Phone:817-665-5373
Mailing Address - Fax:817-427-4444
Practice Address - Street 1:1856 PRECINCT LINE RD
Practice Address - Street 2:SUITE 101
Practice Address - City:HURST
Practice Address - State:TX
Practice Address - Zip Code:76054-3172
Practice Address - Country:US
Practice Address - Phone:817-665-5373
Practice Address - Fax:817-427-4444
Is Sole Proprietor?:No
Enumeration Date:2007-11-09
Last Update Date:2014-05-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXN7322207RN0300X, 207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX271363YN91Medicare PIN