Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207U00000X | Nuclear Medicine Specialist | MD00030969 | WA |
NPI | 1164400610 |
---|---|
Provider Name | Dr. Sanjiv R. Parikh |
First Address | Lynnwood, WA 98036-4746 |
Second Address | Lynnwood, WA 98036-4746 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/01/2006 |
Last Update Date | 08/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
120927 | L&I PROVIDER NUMBER (01) | WA |
8147423 | (05) | WA |
F58184 | (02) | WA |