Provider Demographics
NPI:1649247487
Name:PARIKH, ASHISH B (MD, FACC)
Entity type:Individual
Prefix:DR
First Name:ASHISH
Middle Name:B
Last Name:PARIKH
Suffix:
Gender:M
Credentials:MD, FACC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:620 STANTON CHRISTIANA RD.
Mailing Address - Street 2:STE 203 METROFORM BUILDING
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713
Mailing Address - Country:US
Mailing Address - Phone:302-338-9444
Mailing Address - Fax:302-994-9449
Practice Address - Street 1:620 STANTON CHRISTIANA RD
Practice Address - Street 2:STE 203, METROFORM BUILDING
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19713
Practice Address - Country:US
Practice Address - Phone:302-366-7665
Practice Address - Fax:302-366-0734
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-01
Last Update Date:2021-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC1-0005634207RI0011X, 2085R0204X
DEC10005634207RC0000X
DEC1-00054634207UN0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207UN0901XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear Cardiology
No2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE1649247487Medicaid
F68611Medicare UPIN
DE1649247487Medicaid
DE003141C16Medicare PIN