Healthcare Provider Details

I. General information

NPI: 1649247487
Provider Name (Legal Business Name): ASHISH B PARIKH MD, FACC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/01/2006
Last Update Date: 05/18/2021
Certification Date: 05/18/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

620 STANTON CHRISTIANA RD STE 203, METROFORM BUILDING
NEWARK DE
19713
US

IV. Provider business mailing address

620 STANTON CHRISTIANA RD. STE 203 METROFORM BUILDING
NEWARK DE
19713
US

V. Phone/Fax

Practice location:
  • Phone: 302-366-7665
  • Fax: 302-366-0734
Mailing address:
  • Phone: 302-338-9444
  • Fax: 302-994-9449

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License NumberC1-0005634
License Number StateDE
# 2
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberC10005634
License Number StateDE
# 3
Primary TaxonomyN
Taxonomy Code207UN0901X
TaxonomyNuclear Cardiology Physician
License NumberC1-00054634
License Number StateDE
# 4
Primary TaxonomyN
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License NumberC1-0005634
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: