Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 125055890 | IL |
N | 111NI0900X | Internist | 125055890 | IL |
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 2013-00285 | NC |
N | 207RC0000X | Internist - Cardiovascular Disease | 2013-00285 | NC |
NPI | 1780813782 |
---|---|
Provider Name | Dr. Kishan S Parikh |
First Address | Durham, NC 27710 |
Second Address | Durham, NC 27710 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2009 |
Last Update Date | 17/07/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1780813782 | (05) | NC |