Healthcare Provider Details

I. General information

NPI: 1932555869
Provider Name (Legal Business Name): MANNAN PARRIKH M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: MANAN MUKESH PARIKH

II. Dates (important events)

Enumeration Date: 05/10/2016
Last Update Date: 08/25/2025
Certification Date: 08/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 PARRISH ST
CANANDAIGUA NY
14424-1731
US

IV. Provider business mailing address

475 SEAVIEW AVE
STATEN ISLAND NY
10305-3436
US

V. Phone/Fax

Practice location:
  • Phone: 585-784-2985
  • Fax:
Mailing address:
  • Phone: 718-226-6205
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberMD20119
License Number StateRI
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number317011
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: