Healthcare Provider Details

I. General information

NPI: 1255516951
Provider Name (Legal Business Name): NIKIE PARIKH M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/01/2008
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 MILVIA ST
BERKELEY CA
94704-2636
US

IV. Provider business mailing address

259 E ERIE ST SUITE 2200
CHICAGO IL
60611-2987
US

V. Phone/Fax

Practice location:
  • Phone: 510-204-5514
  • Fax: 510-204-5515
Mailing address:
  • Phone: 312-926-6000
  • Fax: 312-926-6344

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberAN52403946036
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberC170793
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: