Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207W00000X | Ophthalmologist | 278580 | MA |
Y | 207W00000X | Ophthalmologist | 280901 | NY |
N | 207WX0107X | Retina Specialist | 280901 | NY |
NPI | 1003235185 |
---|---|
Provider Name | Deep Parikh |
First Address | Mineola, NY 11501-4240 |
Second Address | Mineola, NY 11501-4240 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/04/2014 |
Last Update Date | 10/01/2021 |