Healthcare Provider Details

I. General information

NPI: 1396854055
Provider Name (Legal Business Name): RAJIV C PARIKH M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/29/2006
Last Update Date: 08/30/2023
Certification Date: 08/30/2023
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
14048-3423
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:
Title or Position:
Credential:
Phone: