Provider Demographics
NPI:1386651065
Name:PARIKH, SUNIL (MD)
Entity type:Individual
Prefix:
First Name:SUNIL
Middle Name:
Last Name:PARIKH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 COLLEGE ST
Mailing Address - Street 2:
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06510-3201
Mailing Address - Country:US
Mailing Address - Phone:203-737-7906
Mailing Address - Fax:203-737-1662
Practice Address - Street 1:60 COLLEGE ST
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06510-3201
Practice Address - Country:US
Practice Address - Phone:203-737-7906
Practice Address - Fax:203-737-1662
Is Sole Proprietor?:No
Enumeration Date:2006-08-02
Last Update Date:2013-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA79705207R00000X, 207RI0200X
CT051744207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT051744Medicaid
CA00A797050Medicaid
CT051744Medicare PIN
I27421Medicare UPIN
CA00A797050Medicaid