Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207U00000X | Nuclear Medicine Specialist | 4301063079 | MI |
NPI | 1174692644 |
---|---|
Provider Name | Smruti S Parikh |
First Address | Okemos, MI 48864-6920 |
Second Address | Okemos, MI 48864-6920 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/11/2006 |
Last Update Date | 08/06/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
346478310 | (05) | MI |
G83575 | (02) |