Healthcare Provider Details

I. General information

NPI: 1386869816
Provider Name (Legal Business Name): PALAK S PARIKH M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/17/2007
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3400 INTERSTATE HIGHWAY 30 STE 220
MESQUITE TX
75150-2601
US

IV. Provider business mailing address

1505 LBJ FWY STE 700
DALLAS TX
75234-6065
US

V. Phone/Fax

Practice location:
  • Phone: 214-358-2300
  • Fax: 214-579-6994
Mailing address:
  • Phone: 214-358-2300
  • Fax: 214-579-6941

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberP6054
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberP6054
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: