Provider Demographics
NPI:1306067012
Name:PARIKH, RAJUL (MD)
Entity type:Individual
Prefix:DR
First Name:RAJUL
Middle Name:
Last Name:PARIKH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:73 W MARCH LN STE A
Mailing Address - Street 2:
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95207-5726
Mailing Address - Country:US
Mailing Address - Phone:209-937-9010
Mailing Address - Fax:209-937-9018
Practice Address - Street 1:73 W MARCH LN STE A
Practice Address - Street 2:
Practice Address - City:STOCKTON
Practice Address - State:CA
Practice Address - Zip Code:95207-5726
Practice Address - Country:US
Practice Address - Phone:209-937-9010
Practice Address - Fax:209-937-9018
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-01
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA377462080H0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080H0002XAllopathic & Osteopathic PhysiciansPediatricsHospice and Palliative Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA37746OtherCALIFORNIA MEDICAL LICENS
CA00A377460Medicaid
CA00A377460Medicaid
CA00A377460Medicaid