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NPI Code Detail

MEDICARE: DR. JAGDISHCHANDR PARIKH M.D.

MEDICARE: DR. JAGDISHCHANDR 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
1207R00000XInternal Medicine PhysicianC50485CA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1636153B1HOTHERNJMEDICARE BILLING ID

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1760422067
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAGDISHCHANDR PARIKH M.D.
Provider Business Mailing Address
First Line : 3114 W BEVERLY BLVD
Second Line :
City : MONTEBELLO
State : CA
Zip : 90640-2217
Country : US
Telephone Number : 562-667-6648
Fax Number :
Provider Business Practice Location Address
First Line : 3114 W BEVERLY BLVD
Second Line :
City : MONTEBELLO
State : CA
Zip : 90640-2217
Country : US
Telephone Number : 562-667-6648
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2006
Last Update Date : 03/22/2017

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