Healthcare Provider Details

I. General information

NPI: 1447888250
Provider Name (Legal Business Name): POOJA DAKSHESHKUMAR PARIKH MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/28/2020
Last Update Date: 06/18/2025
Certification Date: 06/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5303 HARRY HINES BLVD
DALLAS TX
75390-2805
US

IV. Provider business mailing address

PO BOX 845347
DALLAS TX
75284-5347
US

V. Phone/Fax

Practice location:
  • Phone: 214-645-2020
  • Fax:
Mailing address:
  • Phone: 214-645-2020
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberV0832
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code207WX0109X
TaxonomyNeuro-ophthalmology Physician
License NumberV0832
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code207WX0200X
TaxonomyOphthalmic Plastic and Reconstructive Surgery Physician
License NumberV0832
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: