Provider Demographics
NPI:1306893540
Name:PARIKH-DESAI, AMRITA SUNIL (MD)
Entity type:Individual
Prefix:DR
First Name:AMRITA
Middle Name:SUNIL
Last Name:PARIKH-DESAI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:AMRITA
Other - Middle Name:SUNIL
Other - Last Name:DESAI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:103 BAINES CT
Mailing Address - Street 2:SUITE 200
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27511-6646
Mailing Address - Country:US
Mailing Address - Phone:919-467-6125
Mailing Address - Fax:919-467-1728
Practice Address - Street 1:103 BAINES CT
Practice Address - Street 2:SUITE 200
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27511-6646
Practice Address - Country:US
Practice Address - Phone:919-467-6125
Practice Address - Fax:919-467-1728
Is Sole Proprietor?:No
Enumeration Date:2006-05-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCNC-94-00775207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCF94341Medicare UPIN