Provider Demographics
NPI:1538262936
Name:PARIKH, MINAXI D (MD)
Entity type:Individual
Prefix:DR
First Name:MINAXI
Middle Name:D
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 1:1395, ROUTE 23
Mailing Address - Street 2:SUITE # 4
Mailing Address - City:BUTLER
Mailing Address - State:NJ
Mailing Address - Zip Code:07405
Mailing Address - Country:US
Mailing Address - Phone:973-838-0200
Mailing Address - Fax:
Practice Address - Street 1:1395, RT 23
Practice Address - Street 2:SUITE # 4
Practice Address - City:BUTLER
Practice Address - State:NJ
Practice Address - Zip Code:07405
Practice Address - Country:US
Practice Address - Phone:973-838-0200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38381207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ2222745050OtherHORIZON BLUE CROSS / BLUE
NJIPO85OtherOXFORD
NJ041151OtherUS HEALTH CARE
NJPA645340Medicare ID - Type Unspecified
NJE68625Medicare UPIN