Provider Demographics
NPI:1255358008
Name:WARIKARN, PARINDA (MD)
Entity type:Individual
Prefix:
First Name:PARINDA
Middle Name:
Last Name:WARIKARN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7901 BROADWAY
Mailing Address - Street 2:ROOM A1-16
Mailing Address - City:ELMHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11373-1329
Mailing Address - Country:US
Mailing Address - Phone:718-334-4249
Mailing Address - Fax:718-334-4584
Practice Address - Street 1:7901 BROADWAY
Practice Address - Street 2:ROOM A1-16, AMBULATORY CARE DEPT.
Practice Address - City:ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11373-1329
Practice Address - Country:US
Practice Address - Phone:718-334-4249
Practice Address - Fax:718-334-4584
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2007-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY233079207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02580087Medicaid
NY02580087Medicaid
NY5388VXMedicare PIN