Basic Information
Provider Information
NPI: 1225254600
EntityType: 2
ReplacementNPI:  
OrganizationName: ANIL PARIKH MD INC
LastName:  
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Credential:  
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Mailing Information
Address1: 70 N MILLER RD
Address2:  
City: FAIRLAWN
State: OH
PostalCode: 443333702
CountryCode: US
TelephoneNumber: 3308670066
FaxNumber: 3308670056
Practice Location
Address1: 70 N MILLER RD
Address2:  
City: FAIRLAWN
State: OH
PostalCode: 443333702
CountryCode: US
TelephoneNumber: 3308670066
FaxNumber: 3308670056
Other Information
ProviderEnumerationDate: 04/17/2007
LastUpdateDate: 03/21/2011
NPIDeactivationReasonCode:  
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AuthorizedOfficialLastName: PARIKH
AuthorizedOfficialFirstName: ANIL
AuthorizedOfficialMiddleName: M.
AuthorizedOfficialTitleorPosition: MEDICAL DIRECTOR
AuthorizedOfficialTelephone: 3308670066
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: DR.
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential: MD
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084P0800X52486OHY193400000X SINGLE SPECIALTY GROUPAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry

No ID Information.


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