Provider Demographics
NPI:1851458202
Name:PARIKH, SONAL YOGENDRA (MD)
Entity Type:Individual
Prefix:
First Name:SONAL
Middle Name:YOGENDRA
Last Name:PARIKH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 167TH ST STE 200
Mailing Address - Street 2:
Mailing Address - City:CALUMET CITY
Mailing Address - State:IL
Mailing Address - Zip Code:60409-5445
Mailing Address - Country:US
Mailing Address - Phone:708-832-0244
Mailing Address - Fax:708-832-1008
Practice Address - Street 1:1600 167TH ST STE 200
Practice Address - Street 2:
Practice Address - City:CALUMET CITY
Practice Address - State:IL
Practice Address - Zip Code:60409-5445
Practice Address - Country:US
Practice Address - Phone:708-832-0244
Practice Address - Fax:708-832-1008
Is Sole Proprietor?:No
Enumeration Date:2007-01-03
Last Update Date:2021-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036116946207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine