Provider Demographics
NPI:1750309589
Name:SUDHIR M PARIKH M D P A
Entity Type:Organization
Organization Name:SUDHIR M PARIKH M D P A
Other - Org Name:CENTER FOR ASTHMA AND ALLERGY P A
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER OF CORPORATION
Authorized Official - Prefix:
Authorized Official - First Name:SUDHIR
Authorized Official - Middle Name:M
Authorized Official - Last Name:PARIKH
Authorized Official - Suffix:
Authorized Official - Credentials:M D PA
Authorized Official - Phone:732-545-0094
Mailing Address - Street 1:18 N 3RD AVE
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:08904-2408
Mailing Address - Country:US
Mailing Address - Phone:732-545-0094
Mailing Address - Fax:732-545-4087
Practice Address - Street 1:18 N 3RD AVE
Practice Address - Street 2:
Practice Address - City:HIGHLAND PARK
Practice Address - State:NJ
Practice Address - Zip Code:08904-2408
Practice Address - Country:US
Practice Address - Phone:732-545-0094
Practice Address - Fax:732-545-4087
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-18
Last Update Date:2016-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0150142000OtherKEYSTONE HEALTHPLAN EAST
NJ2235111OtherAETNA
NJ2235107OtherAETNA
NJ8828709Medicaid
NJ000K01280OtherHEALTHNET
NJ0150142000OtherAMERIHEALTH
NJ1111081OtherHORIZON HEALTHCARE
NJ2235111OtherAETNA