Healthcare Provider Details

I. General information

NPI: 1013195262
Provider Name (Legal Business Name): GARGI PARIKH REGISTERED DIETITIAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/08/2008
Last Update Date: 07/26/2023
Certification Date: 07/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2101 MEDICAL PARK DR STE 211
SILVER SPRING MD
20902-4053
US

IV. Provider business mailing address

1431 CRESTRIDGE DR
SILVER SPRING MD
20910-1535
US

V. Phone/Fax

Practice location:
  • Phone: 202-964-1095
  • Fax:
Mailing address:
  • Phone: 202-964-1095
  • Fax: 855-932-4906

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number931788
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: