Provider Demographics
NPI:1821027533
Name:PARIKH, ASHISH DHARNIDHAR (MD)
Entity Type:Individual
Prefix:DR
First Name:ASHISH
Middle Name:DHARNIDHAR
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 1:9 WOODBINE RD
Mailing Address - Street 2:
Mailing Address - City:FLORHAM PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07932-2649
Mailing Address - Country:US
Mailing Address - Phone:973-377-4122
Mailing Address - Fax:
Practice Address - Street 1:140 PARK AVE
Practice Address - Street 2:
Practice Address - City:FLORHAM PARK
Practice Address - State:NJ
Practice Address - Zip Code:07932-1049
Practice Address - Country:US
Practice Address - Phone:973-404-7880
Practice Address - Fax:973-285-7629
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2019-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA077049207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0028762Medicaid
078934CUCMedicare ID - Type Unspecified
NJ0028762Medicaid