MEDICARE: MADHAVI UDAY PARIKH RPH

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	183500000X	Pharmacist	RPH46729	CA
2	1835P0018X	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	RPH46729	CA

General Provider Information

NPI Number	:	1205037314
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MADHAVI UDAY PARIKH RPH

Provider Business Mailing Address
First Line	:	1543 RANCHO HILLS DR
Second Line	:
City	:	CHINO HILLS
State	:	CA
Zip	:	91709-6247
Country	:	US
Telephone Number	:	909-754-9000
Fax Number	:	909-613-1560

Provider Business Practice Location Address
First Line	:	1543 RANCHO HILLS DR
Second Line	:
City	:	CHINO HILLS
State	:	CA
Zip	:	91709-6247
Country	:	US
Telephone Number	:	909-754-9000
Fax Number	:	909-613-1560

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

Provider Enumeration Date	:	05/29/2007
Last Update Date	:	06/23/2016

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