Provider Demographics
NPI:1255992392
Name:MESSANA, TEJAL PARIKH (DPM)
Entity type:Individual
Prefix:DR
First Name:TEJAL
Middle Name:PARIKH
Last Name:MESSANA
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:TEJAL
Other - Middle Name:PARAG
Other - Last Name:PARIKH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPM
Mailing Address - Street 1:630 SMITHFIELD RD APT 1108
Mailing Address - Street 2:
Mailing Address - City:NORTH PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02904-2932
Mailing Address - Country:US
Mailing Address - Phone:419-913-8007
Mailing Address - Fax:
Practice Address - Street 1:825 CHALKSTONE AVE
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02908-4728
Practice Address - Country:US
Practice Address - Phone:401-456-2000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-27
Last Update Date:2021-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RILPR00206213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery