Provider Demographics
NPI:1023165685
Name:PARIKH, VIPUL VIRENDRA (MD)
Entity type:Individual
Prefix:DR
First Name:VIPUL
Middle Name:VIRENDRA
Last Name:PARIKH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7051 HEATHCOTE VILLAGE WAY
Mailing Address - Street 2:SUITE 155
Mailing Address - City:GAINESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20155-6242
Mailing Address - Country:US
Mailing Address - Phone:571-248-0167
Mailing Address - Fax:571-248-0173
Practice Address - Street 1:7051 HEATHCOTE VILLAGE WAY
Practice Address - Street 2:SUITE 155
Practice Address - City:GAINESVILLE
Practice Address - State:VA
Practice Address - Zip Code:20155
Practice Address - Country:US
Practice Address - Phone:571-248-0167
Practice Address - Fax:571-248-0173
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-05
Last Update Date:2019-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101243618208000000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
H88292Medicare UPIN