Healthcare Provider Details

I. General information

NPI: 1356415681
Provider Name (Legal Business Name): RAJIV C PARIKH MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/20/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1134 CENTRAL AVE
DUNKIRK NY
14048
US

IV. Provider business mailing address

1134 CENTRAL AVE
DUNKIRK NY
14048
US

V. Phone/Fax

Practice location:
  • Phone: 716-366-6036
  • Fax: 716-366-3177
Mailing address:
  • Phone: 716-366-6036
  • Fax: 716-366-3177

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number121978
License Number StateNY

VIII. Authorized Official

Name: DR. RAJIV C PARIKH
Title or Position: OWNER
Credential:
Phone: 716-366-6036