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General NPI Number Information
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NPI Number | 1700314101
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Entity Type | Individual
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Provider Name | KEVAL D PARIKH MD
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Gender | Male
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Dates
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Enumeration Date | 05/30/2017
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Last Update Date | 01/09/2025
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Provider Practice Location Address
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Address Line | 676 N SAINT CLAIR ST STE 800
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City | CHICAGO
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State | IL
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Zip | 60611-2978
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Country | US
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Telephone | 312-695-3696
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Fax | 312-695-5645
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Provider Business Mailing Address
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Address Line | 20 YORK ST
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City | NEW HAVEN
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State | CT
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Zip | 06510-3220
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Country | US
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Telephone | 203-688-4242
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Fax |
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 71193
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 35.134414
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 125070701
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 036169985
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License Number State | IL
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