Provider Demographics
NPI:1427067198
Name:PARIKH, KOKILA PRAKASH I (MD)
Entity type:Individual
Prefix:DR
First Name:KOKILA
Middle Name:PRAKASH
Last Name:PARIKH
Suffix:I
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 1:1214 CARDINAL AVE
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-3471
Mailing Address - Country:US
Mailing Address - Phone:281-242-8950
Mailing Address - Fax:281-242-8950
Practice Address - Street 1:2000 TEXAS AVE STE 200
Practice Address - Street 2:
Practice Address - City:TEXAS CITY
Practice Address - State:TX
Practice Address - Zip Code:77590-8472
Practice Address - Country:US
Practice Address - Phone:409-949-3406
Practice Address - Fax:409-949-3492
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-05
Last Update Date:2009-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF2841174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX123118505Medicaid
TX451801OtherOSCAR
TX123118505Medicaid
TX451801Medicare Oscar/Certification
TXE66036Medicare UPIN