Healthcare Provider Details

I. General information

NPI: 1154701100
Provider Name (Legal Business Name): DR. ROHAN PARIKH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/04/2015
Last Update Date: 07/29/2020
Certification Date: 07/29/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

595 W STATE ST
DOYLESTOWN PA
18901-2554
US

IV. Provider business mailing address

245 N 15TH ST FL 6
PHILADELPHIA PA
19102-1101
US

V. Phone/Fax

Practice location:
  • Phone: 215-345-2885
  • Fax: 152-345-2552
Mailing address:
  • Phone: 215-762-7916
  • Fax: 215-762-7765

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberMD466072
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD466072
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: