Provider Demographics
NPI:1578350757
Name:MAMTA H PARIKH MD PC
Entity type:Organization
Organization Name:MAMTA H PARIKH MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MAMTA
Authorized Official - Middle Name:H
Authorized Official - Last Name:PARIKH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-216-9160
Mailing Address - Street 1:425 N BROADWAY UNIT 10
Mailing Address - Street 2:
Mailing Address - City:JERICHO
Mailing Address - State:NY
Mailing Address - Zip Code:11753-5001
Mailing Address - Country:US
Mailing Address - Phone:516-216-9160
Mailing Address - Fax:
Practice Address - Street 1:2 EVANS DR
Practice Address - Street 2:
Practice Address - City:GLEN HEAD
Practice Address - State:NY
Practice Address - Zip Code:11545-3145
Practice Address - Country:US
Practice Address - Phone:516-216-9160
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-22
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty