MEDICARE: DR. NARENDRA D PARIKSHAK MD

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	207R00000X	Internal Medicine Physician	18183	WV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134110729
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NARENDRA D PARIKSHAK MD

Provider Business Mailing Address
First Line	:	1 DUNBAR PLZ
Second Line	:	STE 200
City	:	DUNBAR
State	:	WV
Zip	:	25064-3038
Country	:	US
Telephone Number	:	304-414-4800
Fax Number	:	304-414-4801

Provider Business Practice Location Address
First Line	:	1 DUNBAR PLZ
Second Line	:	STE 200
City	:	DUNBAR
State	:	WV
Zip	:	25064-3038
Country	:	US
Telephone Number	:	304-356-1556
Fax Number	:

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

Provider Enumeration Date	:	11/02/2005
Last Update Date	:	10/14/2020

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