Basic Information
Provider Information
NPI: 1154701100
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PARIKH
FirstName: ROHAN
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 245 N 15TH ST FL 6
Address2:  
City: PHILADELPHIA
State: PA
PostalCode: 191021101
CountryCode: US
TelephoneNumber: 2157627916
FaxNumber: 2157627765
Practice Location
Address1: 595 W STATE ST
Address2:  
City: DOYLESTOWN
State: PA
PostalCode: 189012554
CountryCode: US
TelephoneNumber: 2153452885
FaxNumber: 1523452552
Other Information
ProviderEnumerationDate: 06/04/2015
LastUpdateDate: 07/29/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/29/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208M00000XMD466072PAN Allopathic & Osteopathic PhysiciansHospitalist 
207R00000XMD466072PAY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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