Provider Demographics
NPI:1740775253
Name:PARIKH, CHAITYA (DO)
Entity type:Individual
Prefix:
First Name:CHAITYA
Middle Name:
Last Name:PARIKH
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:56 CLUB LANE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:BLAIRSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15717
Mailing Address - Country:US
Mailing Address - Phone:724-459-5203
Mailing Address - Fax:724-459-0949
Practice Address - Street 1:56 CLUB LANE
Practice Address - Street 2:SUITE 10
Practice Address - City:BLAIRSVILLE
Practice Address - State:PA
Practice Address - Zip Code:15717
Practice Address - Country:US
Practice Address - Phone:724-459-5203
Practice Address - Fax:724-459-0949
Is Sole Proprietor?:No
Enumeration Date:2018-06-27
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAOS021381207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine