1740298652 NPI number — RAKESH A PARIKH PLLC

Table of content: (NPI 1740298652)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1740298652 NPI number — RAKESH A PARIKH PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
RAKESH A PARIKH PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1740298652
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/04/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1205 WALTER REED ROAD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FAYETTEVILLE
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
28304
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
910-323-4031
Provider Business Mailing Address Fax Number:
910-323-8216

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1205 WALTER REED RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FAYETTEVILLE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28304-4437
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
910-323-4031
Provider Business Practice Location Address Fax Number:
910-323-8216
Provider Enumeration Date:
08/04/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
PARIKH
Authorized Official First Name:
RAKESH
Authorized Official Middle Name:
A
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
910-323-4031

Provider Taxonomy Codes

  • Taxonomy code: 208100000X , with the licence number:  9601140 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 891067L , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1456T . This is a "BCBS" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: S624524 . This is a "AETNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2233073D . This is a "MEDICARE" identifier . This identifiers is of the category "OTHER".