Healthcare Provider Details

I. General information

NPI: 1588419659
Provider Name (Legal Business Name): POOJAN ANANDBHAI PARIKH MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/22/2024
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date: 12/19/2024
Reactivation Date: 01/06/2026

III. Provider practice location address

UNIVERSITY OF TENNESSEE 920 MADISON AVENUE SUITE 447
MEMPHIS TN
38163
US

IV. Provider business mailing address

50 N. DUNLAP 6TH FLOOR
MEMPHIS TN
38103
US

V. Phone/Fax

Practice location:
  • Phone: 901-287-6756
  • Fax:
Mailing address:
  • Phone: 901-287-6756
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: