Provider Demographics
NPI:1902820830
Name:PARIKH, AMISH M (MD)
Entity Type:Individual
Prefix:
First Name:AMISH
Middle Name:M
Last Name:PARIKH
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:670 N ORLANDO AVE
Mailing Address - Street 2:SUITE 1003
Mailing Address - City:MAITLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32751-4481
Mailing Address - Country:US
Mailing Address - Phone:407-622-0793
Mailing Address - Fax:866-362-3655
Practice Address - Street 1:670 N ORLANDO AVE
Practice Address - Street 2:SUITE 1003
Practice Address - City:MAITLAND
Practice Address - State:FL
Practice Address - Zip Code:32751-4481
Practice Address - Country:US
Practice Address - Phone:407-622-0793
Practice Address - Fax:866-362-3655
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2013-12-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME69310207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL251364100Medicaid
FL251364100Medicaid
FL32835YMedicare PIN