MEDICARE: A PARIKH DDS, INC

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	122300000X	Dentist	48164	CA

General Provider Information

NPI Number	:	1366783581
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A PARIKH DDS, INC

Provider Business Mailing Address
First Line	:	1490 EL CAMINO REAL
Second Line	:
City	:	SAN BRUNO
State	:	CA
Zip	:	94066-5301
Country	:	US
Telephone Number	:	650-871-2917
Fax Number	:	650-871-7476

Provider Business Practice Location Address
First Line	:	1490 EL CAMINO REAL
Second Line	:
City	:	SAN BRUNO
State	:	CA
Zip	:	94066-5301
Country	:	US
Telephone Number	:	650-871-2917
Fax Number	:	650-871-7476

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ANKUR PARIKH
Credential	:
Telephone Number	:	650-871-2917

Provider Enumeration Date	:	03/13/2013
Last Update Date	:	03/13/2013

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