Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | MT205567 | PA |
N | 207QA0401X | Family Doctor - Addiction Medicine | 35130253 | OH |
Y | 207QA0401X | Family Doctor - Addiction Medicine | 72682-20 | WI |
NPI | 1134548340 |
---|---|
Provider Name | Dr. Hishita Parikh |
First Address | Milwaukee, WI 53215-2843 |
Second Address | Wauwatosa, WI 53213-2504 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/04/2014 |
Last Update Date | 29/11/2021 |