Basic Information
| Provider Information | |||||||||
| NPI: | 1124251293 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | PARIKH | ||||||||
| FirstName: | RAHUL | ||||||||
| MiddleName: | R | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1000 10TH AVE | ||||||||
| Address2: | ROOSEVELT HOSPITAL, LL, DEPT. OF RADIATION ONCOLOGY | ||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100191147 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2125236630 | ||||||||
| FaxNumber: | 2125238189 | ||||||||
| Practice Location | |||||||||
| Address1: | 1000 10TH AVE | ||||||||
| Address2: | ROOSEVELT HOSPITAL, LL, DEPT. OF RADIATION ONCOLOGY | ||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100191147 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2125236630 | ||||||||
| FaxNumber: | 2125238189 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/24/2009 | ||||||||
| LastUpdateDate: | 06/30/2015 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 174400000X | 25MA08646000 | NJ | N | Other Service Providers | Specialist | 2085R0001X | 25MA08646000 | NJ | N | Allopathic & Osteopathic Physicians | Radiology | Radiation Oncology | 2085R0001X | 264305 | NY | Y | Allopathic & Osteopathic Physicians | Radiology | Radiation Oncology |
No ID Information.