Basic Information
| Provider Information | |||||||||
| NPI: | 1659471159 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | PARIKH | ||||||||
| FirstName: | INDRAVADAN | ||||||||
| MiddleName: | KANTILAL | ||||||||
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| Credential: | M.D., F.A.C.P. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7607 CARRIAGE LN | ||||||||
| Address2: | |||||||||
| City: | CINCINNATI | ||||||||
| State: | OH | ||||||||
| PostalCode: | 452427557 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7403533236 | ||||||||
| FaxNumber: | 7403534803 | ||||||||
| Practice Location | |||||||||
| Address1: | 17273 STATE ROUTE 104 | ||||||||
| Address2: | |||||||||
| City: | CHILLICOTHE | ||||||||
| State: | OH | ||||||||
| PostalCode: | 456018608 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7407731141 | ||||||||
| FaxNumber: | 7403534803 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/24/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 35-100125 | OH | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.