Provider Demographics
NPI:1982657664
Name:PARIKH, ABHAY S (MD)
Entity Type:Individual
Prefix:
First Name:ABHAY
Middle Name:S
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:PO BOX 3583
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92659-8583
Mailing Address - Country:US
Mailing Address - Phone:949-548-6634
Mailing Address - Fax:949-548-1431
Practice Address - Street 1:520 SUPERIOR AVE
Practice Address - Street 2:SUITE 320
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92663-3637
Practice Address - Country:US
Practice Address - Phone:949-548-6652
Practice Address - Fax:949-548-1435
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-17
Last Update Date:2013-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA45649207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
A45649Medicare ID - Type Unspecified
F66531Medicare UPIN