Provider Demographics
NPI:1588660476
Name:PARIKH, DHAVAL (MD)
Entity type:Individual
Prefix:DR
First Name:DHAVAL
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 1:4235 SECOR RD
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43623-4231
Mailing Address - Country:US
Mailing Address - Phone:419-471-0493
Mailing Address - Fax:419-474-0390
Practice Address - Street 1:3000 REGENCY CT
Practice Address - Street 2:STE 207
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43623-3092
Practice Address - Country:US
Practice Address - Phone:419-471-0493
Practice Address - Fax:419-474-0390
Is Sole Proprietor?:No
Enumeration Date:2005-06-24
Last Update Date:2018-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-0830852085R0001X
MI43010827412085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0N24000015OtherMEDICARE
MI4542220Medicaid
OH2422408Medicaid
MI4541930OtherMI MEDICAID-OH LOCATIONS
MIP00062183OtherRR MEDICARE
OHP00062183OtherRR MEDICARE
MI4542220Medicaid
MI0N24000015OtherMEDICARE
OHP00062183OtherRR MEDICARE