Healthcare Provider Details

I. General information

NPI: 1003644949
Provider Name (Legal Business Name): AALAY CHIRAG PARIKH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/23/2024
Last Update Date: 08/01/2026
Certification Date: 08/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3308 PLATT SPRINGS RD
WEST COLUMBIA SC
29170-2204
US

IV. Provider business mailing address

345 E 24TH ST
NEW YORK NY
10010-4020
US

V. Phone/Fax

Practice location:
  • Phone: 803-302-4482
  • Fax:
Mailing address:
  • Phone: 212-998-9800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDGD.11561GD
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: