Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207W00000X | Ophthalmologist | 274385 | MA |
Y | 207W00000X | Ophthalmologist | 284130 | NY |
NPI | 1013331404 |
---|---|
Provider Name | Ravi Parikh |
First Address | Boston, MA 02114-3002 |
Second Address | Boston, MA 02114 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/02/2014 |
Last Update Date | 02/07/2020 |