MEDICARE: SHARAD P PARIKH MD PC

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	2086S0129X	Vascular Surgery Physician	33867	MO

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	DG2193	OTHER	MO	RAILROAD MEDICARE

General Provider Information

NPI Number	:	1790804532
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHARAD P PARIKH MD PC

Provider Business Mailing Address
First Line	:	11905 W FLORISSANT AVE
Second Line	:	SUITE 100
City	:	FLORISSANT
State	:	MO
Zip	:	63033-6778
Country	:	US
Telephone Number	:	314-831-4200
Fax Number	:	314-831-7632

Provider Business Practice Location Address
First Line	:	11905 W FLORISSANT AVE
Second Line	:	SUITE 100
City	:	FLORISSANT
State	:	MO
Zip	:	63033-6778
Country	:	US
Telephone Number	:	314-831-4200
Fax Number	:	314-831-7632

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. SHARAD PARIKH
Credential	:	M.D.
Telephone Number	:	314-831-4200

Provider Enumeration Date	:	03/29/2007
Last Update Date	:	01/26/2010

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