Provider Demographics
NPI:1730108523
Name:PARIKH, HIMANSHU P (MD)
Entity Type:Individual
Prefix:DR
First Name:HIMANSHU
Middle Name:P
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:PO BOX 998
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27512-0998
Mailing Address - Country:US
Mailing Address - Phone:919-859-4740
Mailing Address - Fax:919-859-4739
Practice Address - Street 1:401 KEISLER DR
Practice Address - Street 2:200
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27518-7084
Practice Address - Country:US
Practice Address - Phone:919-859-4740
Practice Address - Fax:919-859-4739
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-19
Last Update Date:2012-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9600671207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC891083CMedicaid
NC3397A519Medicare PIN
NC891083CMedicaid