MEDICARE: AESHA A PARIKH PA-C

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	363AM0700X	Medical Physician Assistant

General Provider Information

NPI Number	:	1285310334
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AESHA A PARIKH PA-C

Provider Business Mailing Address
First Line	:	108 JEFFREY KENNETH PL
Second Line	:
City	:	YORKTOWN
State	:	VA
Zip	:	23693-2582
Country	:	US
Telephone Number	:	757-927-7541
Fax Number	:

Provider Business Practice Location Address
First Line	:	2369 STAPLES MILL RD STE 200
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23230-2918
Country	:	US
Telephone Number	:	804-285-8206
Fax Number	:	804-497-5469

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

Provider Enumeration Date	:	06/23/2023
Last Update Date	:	06/23/2023

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