Provider Demographics
NPI:1922008580
Name:SHARAD P. PARIKH M.D.
Entity Type:Organization
Organization Name:SHARAD P. PARIKH M.D.
Other - Org Name:BIOMEDICAL IMAGING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SHER
Authorized Official - Middle Name:
Authorized Official - Last Name:LYERLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-831-4200
Mailing Address - Street 1:11905 W FLORISSANT AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:FLORISSANT
Mailing Address - State:MO
Mailing Address - Zip Code:63033-6778
Mailing Address - Country:US
Mailing Address - Phone:314-972-0100
Mailing Address - Fax:314-831-7632
Practice Address - Street 1:11905 W FLORISSANT AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:FLORISSANT
Practice Address - State:MO
Practice Address - Zip Code:63033-6778
Practice Address - Country:US
Practice Address - Phone:314-972-0100
Practice Address - Fax:314-831-7632
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO33867207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
A10969Medicare UPIN