Provider Demographics
NPI:1871683904
Name:PARIKH, KIRAN R (MD)
Entity Type:Individual
Prefix:DR
First Name:KIRAN
Middle Name:R
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 1:2100 PRESTON ST
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77469-1419
Mailing Address - Country:US
Mailing Address - Phone:281-344-4608
Mailing Address - Fax:281-344-4606
Practice Address - Street 1:2100 PRESTON ST
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77469-1419
Practice Address - Country:US
Practice Address - Phone:281-344-4608
Practice Address - Fax:281-344-4606
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG5825208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX80E326Medicare ID - Type Unspecified
TXE28335Medicare UPIN
TXP00205473Medicare ID - Type UnspecifiedRAILROAD MEDICARE