Provider Demographics
NPI:1750726329
Name:PARIKH, TATTVAMASI (MD)
Entity type:Individual
Prefix:
First Name:TATTVAMASI
Middle Name:
Last Name:PARIKH
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 1:117 GREENWAY W
Mailing Address - Street 2:
Mailing Address - City:MANHASSET HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11040-2226
Mailing Address - Country:US
Mailing Address - Phone:516-724-7339
Mailing Address - Fax:516-746-1001
Practice Address - Street 1:1 HOLLOW LN
Practice Address - Street 2:SUITE 301 PM PEDIATRICS
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11042-1220
Practice Address - Country:US
Practice Address - Phone:516-869-0650
Practice Address - Fax:516-869-0655
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-08
Last Update Date:2022-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY285943208000000X
NY390200000X
PAMD472298208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program