Basic Information
| Provider Information | |||||||||
| NPI: | 1346462207 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | PARIKH | ||||||||
| FirstName: | PURVI | ||||||||
| MiddleName: | YOGESH | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 100 KINGS HWY S | ||||||||
| Address2: | |||||||||
| City: | ROCHESTER | ||||||||
| State: | NY | ||||||||
| PostalCode: | 146175504 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5859224518 | ||||||||
| FaxNumber: | 5859223950 | ||||||||
| Practice Location | |||||||||
| Address1: | 37 RESEARCH WAY | ||||||||
| Address2: | |||||||||
| City: | E. SETAUKET | ||||||||
| State: | NY | ||||||||
| PostalCode: | 11773 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6314444545 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/02/2007 | ||||||||
| LastUpdateDate: | 03/31/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 03/31/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2086X0206X | 258120 | NY | Y | Allopathic & Osteopathic Physicians | Surgery | Surgical Oncology |
ID Information
| ID | Type | State | Issuer | Description | 000000639602 | 01 | IN | ANTHEM PROVIDER NUMBER | OTHER | PENDING | 05 | IN | MEDICAID |