MEDICARE: MAYANK K PARIKH 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	207RC0000X	Cardiovascular Disease Physician	J8080	TX

General Provider Information

NPI Number	:	1255335501
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAYANK K PARIKH M.D.

Provider Business Mailing Address
First Line	:	1601 MAIN ST
Second Line	:	STE 400
City	:	RICHMOND
State	:	TX
Zip	:	77469-3244
Country	:	US
Telephone Number	:	281-762-9929
Fax Number	:	281-762-9979

Provider Business Practice Location Address
First Line	:	1601 MAIN ST
Second Line	:	STE 400
City	:	RICHMOND
State	:	TX
Zip	:	77469-3244
Country	:	US
Telephone Number	:	281-762-9929
Fax Number	:	281-762-9979

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

Provider Enumeration Date	:	06/01/2005
Last Update Date	:	07/08/2007

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