Provider Demographics
NPI:1922072503
Name:PARIKH, RAKESH N (MD)
Entity Type:Individual
Prefix:
First Name:RAKESH
Middle Name:N
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 1:7830 BRAELOCH CT
Mailing Address - Street 2:
Mailing Address - City:ORLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60462-5094
Mailing Address - Country:US
Mailing Address - Phone:219-985-5500
Mailing Address - Fax:
Practice Address - Street 1:5490 BROADWAY STE 106
Practice Address - Street 2:
Practice Address - City:MERRILLVILLE
Practice Address - State:IN
Practice Address - Zip Code:46410-1676
Practice Address - Country:US
Practice Address - Phone:219-939-7130
Practice Address - Fax:219-951-0883
Is Sole Proprietor?:No
Enumeration Date:2006-02-13
Last Update Date:2022-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-087647207P00000X
IN01043290207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200071970Medicaid
IN200071970Medicaid
IN221480HHMedicare PIN