Provider Demographics
NPI:1942461462
Name:PARIKH, AMEET HEMENDRA (MD)
Entity Type:Individual
Prefix:
First Name:AMEET
Middle Name:HEMENDRA
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 1:19001 OLD LAGRANGE ROAD
Mailing Address - Street 2:HEART CARE CENTERS OF ILLINOIS, S.C.
Mailing Address - City:MOKENA
Mailing Address - State:IL
Mailing Address - Zip Code:60448-8012
Mailing Address - Country:US
Mailing Address - Phone:708-478-3600
Mailing Address - Fax:708-390-2130
Practice Address - Street 1:1101 MADISON ST STE 301
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-3599
Practice Address - Country:US
Practice Address - Phone:206-505-1300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-18
Last Update Date:2022-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL042007998207R00000X, 207RC0000X
IL036115530207RC0000X
WAMD60740452207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036115530Medicaid
ILCD8033OtherRAILROAD MEDICARE PART B GROUP PTAN
1508810086OtherHEART CARE CENTERS OF ILLINOIS GROUP NPI
ILP00737022OtherRAILROAD MEDICARE PART B GROUP MEMBER PTAN