Provider Demographics
NPI:1811345259
Name:GAURANG PALIKH, MD, PC
Entity type:Organization
Organization Name:GAURANG PALIKH, MD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:GAURANG
Authorized Official - Middle Name:
Authorized Official - Last Name:PALIKH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:704-730-8461
Mailing Address - Street 1:PO BOX 1502
Mailing Address - Street 2:
Mailing Address - City:SHELBY
Mailing Address - State:NC
Mailing Address - Zip Code:28151-1502
Mailing Address - Country:US
Mailing Address - Phone:704-730-8461
Mailing Address - Fax:
Practice Address - Street 1:407 W KING ST
Practice Address - Street 2:
Practice Address - City:KINGS MOUNTAIN
Practice Address - State:NC
Practice Address - Zip Code:28086-3345
Practice Address - Country:US
Practice Address - Phone:704-730-8461
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-26
Last Update Date:2016-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2009-017612084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5916921Medicaid
NC76392UMedicare UPIN
NC5916921Medicaid