Basic Information
| Provider Information | |||||||||
| NPI: | 1043471634 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | PARIKH DESAI | ||||||||
| FirstName: | KHYATI | ||||||||
| MiddleName: | |||||||||
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| Credential: | MD | ||||||||
| OtherOrganizationName: | |||||||||
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| OtherLastName: | PARIKH | ||||||||
| OtherFirstName: | KHYATI | ||||||||
| OtherMiddleName: | PIYUSH | ||||||||
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| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 8330 ABRAMS RD | ||||||||
| Address2: | #112 | ||||||||
| City: | DALLAS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 752437694 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 8330 ABRAMS RD | ||||||||
| Address2: | #112 | ||||||||
| City: | DALLAS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 752437694 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2143424400 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/17/2008 | ||||||||
| LastUpdateDate: | 06/22/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208000000X | 257010 | NY | N | Allopathic & Osteopathic Physicians | Pediatrics | 208000000X | Q7858 | TX | Y | Allopathic & Osteopathic Physicians | Pediatrics |
No ID Information.