Provider Demographics
NPI:1699876698
Name:PARIKH, AMEESH SANJAY (MD)
Entity type:Individual
Prefix:
First Name:AMEESH
Middle Name:SANJAY
Last Name:PARIKH
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:3080 BRISTOL ST
Mailing Address - Street 2:SUITE 600
Mailing Address - City:COSTA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:92626-3093
Mailing Address - Country:US
Mailing Address - Phone:714-445-0228
Mailing Address - Fax:714-445-0246
Practice Address - Street 1:1211 W LA PALMA AVE
Practice Address - Street 2:SUITE 102
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92801-2815
Practice Address - Country:US
Practice Address - Phone:714-956-9788
Practice Address - Fax:714-956-4351
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2020-10-21
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Provider Licenses
StateLicense IDTaxonomies
CAA94177207RC0000X, 207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAI63394Medicare UPIN