Provider Demographics
NPI:1134110729
Name:PARIKSHAK, NARENDRA D (MD)
Entity type:Individual
Prefix:DR
First Name:NARENDRA
Middle Name:D
Last Name:PARIKSHAK
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 1:1 DUNBAR PLZ
Mailing Address - Street 2:STE 200
Mailing Address - City:DUNBAR
Mailing Address - State:WV
Mailing Address - Zip Code:25064-3038
Mailing Address - Country:US
Mailing Address - Phone:304-414-4800
Mailing Address - Fax:304-414-4801
Practice Address - Street 1:1 DUNBAR PLZ
Practice Address - Street 2:STE 200
Practice Address - City:DUNBAR
Practice Address - State:WV
Practice Address - Zip Code:25064-3038
Practice Address - Country:US
Practice Address - Phone:304-356-1556
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-11-02
Last Update Date:2020-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV18183207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV0078045000Medicaid
WV0078045000Medicaid
WVDT1767OtherGROUP MEDICARE PTAN
WVPO1404161OtherRR MEDICARE PTAN
WVB441OtherGROUP MEDICARE
G07866Medicare UPIN
WVWV4928B441Medicare PIN