Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086X0206X | Surgical Oncologist | 258120 | NY |
NPI | 1346462207 |
---|---|
Provider Name | Purvi Yogesh Parikh |
First Address | Rochester, NY 14617-5504 |
Second Address | E. Setauket, NY 11773 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/05/2007 |
Last Update Date | 31/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000639602 | ANTHEM PROVIDER NUMBER (01) | IN |
PENDING | (05) | IN |