Provider Demographics
NPI:1134308042
Name:AJAY R. PARIKH, M.D., P.A
Entity type:Organization
Organization Name:AJAY R. PARIKH, M.D., P.A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AJAY
Authorized Official - Middle Name:R
Authorized Official - Last Name:PARIKH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-889-8899
Mailing Address - Street 1:3333 N CALVERT ST
Mailing Address - Street 2:SUITE 605, JOHNSTON PROF. BLDG.
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21218-2867
Mailing Address - Country:US
Mailing Address - Phone:410-889-8899
Mailing Address - Fax:410-889-7924
Practice Address - Street 1:3333 N CALVERT ST
Practice Address - Street 2:SUITE 605, JOHNSTON PROF. BLDG.
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21218-2867
Practice Address - Country:US
Practice Address - Phone:410-889-8899
Practice Address - Fax:410-889-7924
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-26
Last Update Date:2007-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD36212208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD146M096FMedicare PIN