MEDICARE: ARUN VASUDEV PARIKH 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	2084P0800X	Psychiatry Physician	23373020	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1977818	OTHER		ECFMG CERTIFICATE NUMBER
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1306920905
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARUN VASUDEV PARIKH MD

Provider Business Mailing Address
First Line	:	1626 CLARENCE CT
Second Line	:	GENESIS BEHAVIORAL SERVICES
City	:	WEST BEND
State	:	WI
Zip	:	53095-8533
Country	:	US
Telephone Number	:	262-338-8611
Fax Number	:	262-338-3367

Provider Business Practice Location Address
First Line	:	1626 CLARENCE CT
Second Line	:	GENESIS BEHAVIORAL SERVICES
City	:	WEST BEND
State	:	WI
Zip	:	53095-8533
Country	:	US
Telephone Number	:	262-338-8611
Fax Number	:	262-338-3367

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

Provider Enumeration Date	:	10/24/2006
Last Update Date	:	03/07/2023

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