MEDICARE: DR. SHOBHA V PARIKH D.M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	45747	CA

General Provider Information

NPI Number	:	1083693667
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHOBHA V PARIKH D.M.D.

Provider Business Mailing Address
First Line	:	4868 SAN FELIPE RD
Second Line	:	SUITE 120
City	:	SAN JOSE
State	:	CA
Zip	:	95135-1278
Country	:	US
Telephone Number	:	408-528-8303
Fax Number	:	408-528-8305

Provider Business Practice Location Address
First Line	:	4868 SAN FELIPE RD
Second Line	:	SUITE 120
City	:	SAN JOSE
State	:	CA
Zip	:	95135-1278
Country	:	US
Telephone Number	:	408-528-8303
Fax Number	:	408-528-8305

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/12/2006
Last Update Date	:	07/08/2007

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