Provider Demographics
NPI:1215911094
Name:PARIKH, KAPILAGAURI JAY (MD)
Entity type:Individual
Prefix:
First Name:KAPILAGAURI
Middle Name:JAY
Last Name:PARIKH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:KAPILAGAURI
Other - Middle Name:JAY
Other - Last Name:PARIKH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:506 6TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11215-3609
Mailing Address - Country:US
Mailing Address - Phone:718-780-3677
Mailing Address - Fax:718-780-3691
Practice Address - Street 1:506 6TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11215-3609
Practice Address - Country:US
Practice Address - Phone:718-780-3677
Practice Address - Fax:718-780-3691
Is Sole Proprietor?:No
Enumeration Date:2005-12-05
Last Update Date:2012-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY14146612085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00821889Medicaid
NY64A171Medicare PIN
B78498Medicare UPIN