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General NPI Number Information
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NPI Number | 1538153432
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Entity Type | Individual
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Provider Name | KETAN P. PARIKH M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/07/2005
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Last Update Date | 12/16/2018
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Provider Practice Location Address
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Address Line | 910 WASHINGTON RD STE A
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City | WESTMINSTER
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State | MD
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Zip | 21157
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Country | US
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Telephone | 443-205-1111
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Fax | 410-927-8139
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Provider Business Mailing Address
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Address Line | 910 WASHINGTON RD STE A
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City | WESTMINSTER
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State | MD
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Zip | 21157-5845
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Country | US
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Telephone | 443-205-1111
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Fax | 410-927-8139
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207UN0901X
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Taxonomy Name | Nuclear Cardiology Physician
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License Number | 2992
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | D0061452
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License Number State | MD
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