Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | D36212 | MD |
NPI | 1053372995 |
---|---|
Provider Name | Dr. Ajay R Parikh |
First Address | Baltimore, MD 21218 |
Second Address | Baltimore, MD 21218 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/03/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
5949AR | CARE FIRST BLUE SHIELD (01) | |
D77977 | (02) |