Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080N0001X | Neonatal-Perinatal Doctor | MD6041864 | WA |
Y | 2080N0001X | Neonatal-Perinatal Doctor | Q2818 | TX |
NPI | 1134490915 |
---|---|
Provider Name | Pratik Krishnakant Parikh |
First Address | San Antonio, TX 78229-3561 |
Second Address | San Antonio, TX 78229 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/01/2012 |
Last Update Date | 01/11/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1134490915 | (05) | WA |