Basic Information
Provider Information
NPI: 1144607136
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PARIKH
FirstName: SONAL
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 7515 MAIN ST STE 240
Address2:  
City: HOUSTON
State: TX
PostalCode: 770304501
CountryCode: US
TelephoneNumber: 7137919966
FaxNumber:  
Practice Location
Address1: 7515 MAIN ST STE 240
Address2:  
City: HOUSTON
State: TX
PostalCode: 770304501
CountryCode: US
TelephoneNumber: 7137919966
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/29/2015
LastUpdateDate: 10/16/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/15/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207N00000XS1887TXN Allopathic & Osteopathic PhysiciansDermatology 
207ND0101XS1887TXY Allopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic Surgery

No ID Information.


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