Healthcare Provider Details

I. General information

NPI: 1467033217
Provider Name (Legal Business Name): VIJAL PARIKH MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/14/2021
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

521 STONECREST PKWY STE 200
SMYRNA TN
37167-6885
US

IV. Provider business mailing address

521 STONECREST PKWY STE 200
SMYRNA TN
37167-6885
US

V. Phone/Fax

Practice location:
  • Phone: 615-223-9935
  • Fax: 615-891-5046
Mailing address:
  • Phone: 615-223-9935
  • Fax: 615-891-5046

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number77488
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: