Healthcare Provider Details

I. General information

NPI: 1598178808
Provider Name (Legal Business Name): KARISHMA PARIKH M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/04/2014
Last Update Date: 05/03/2024
Certification Date: 05/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

450 CLARKSON AVENUE
BROOKLYN NY
11203
US

IV. Provider business mailing address

450 CLARKSON AVENUE BOX 59
BROOKLYN NY
11203
US

V. Phone/Fax

Practice location:
  • Phone: 718-270-1000
  • Fax:
Mailing address:
  • Phone: 718-270-1000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number25MA11211500
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code2084N0402X
TaxonomyNeurology with Special Qualifications in Child Neurology Physician
License Number25MA11211500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: