MEDICARE: DAKSHESH-KUMAR PARIKH P A

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	00R68U	OTHER	TX	BCBS

General Provider Information

NPI Number	:	1790964526
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DAKSHESH-KUMAR PARIKH P A

Provider Business Mailing Address
First Line	:	2104 PATTERSON DR
Second Line	:
City	:	VICTORIA
State	:	TX
Zip	:	77901-5639
Country	:	US
Telephone Number	:	361-580-2200
Fax Number	:	361-580-2201

Provider Business Practice Location Address
First Line	:	2104 PATTERSON DR
Second Line	:
City	:	VICTORIA
State	:	TX
Zip	:	77901-5639
Country	:	US
Telephone Number	:	361-580-2200
Fax Number	:	361-580-2201

Authorized Official
Title or Position	:	M.D
Name	:	DR. DAKSHESH-KUMAR RAMDAS PARIKH
Credential	:	M.D P A
Telephone Number	:	361-580-2200

Provider Enumeration Date	:	10/29/2007
Last Update Date	:	03/03/2008

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