MEDICARE: SHARAD P. 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
1	207Q00000X	Family Medicine Physician	33867	MO

General Provider Information

NPI Number	:	1922008580
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHARAD P. PARIKH M.D.

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	:	314-972-0100
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	:	314-972-0100
Fax Number	:	314-831-7632

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	SHER LYERLA
Credential	:
Telephone Number	:	314-831-4200

Provider Enumeration Date	:	07/26/2005
Last Update Date	:	08/22/2020

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