MEDICARE: DR. MEHUL 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	207RG0100X	Gastroenterology Physician	073616	GA

General Provider Information

NPI Number	:	1629231048
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MEHUL PARIKH MD

Provider Business Mailing Address
First Line	:	721 WELLNESS WAY
Second Line	:	SUITE 100
City	:	LAWRENCEVILLE
State	:	GA
Zip	:	30046-3304
Country	:	US
Telephone Number	:	770-995-7989
Fax Number	:	770-339-8646

Provider Business Practice Location Address
First Line	:	3869 HIGHWAY 81
Second Line	:
City	:	LOGANVILLE
State	:	GA
Zip	:	30052-3918
Country	:	US
Telephone Number	:	678-635-8650
Fax Number	:

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

Provider Enumeration Date	:	07/07/2008
Last Update Date	:	03/30/2021

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