1942461462 NPI number — AMEET HEMENDRA PARIKH M.D.

Table of content: AMEET HEMENDRA PARIKH M.D. (NPI 1942461462)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1942461462 NPI number — AMEET HEMENDRA PARIKH M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PARIKH
Provider First Name:
AMEET
Provider Middle Name:
HEMENDRA
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

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:
1942461462
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/23/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
19001 OLD LAGRANGE ROAD
Provider Second Line Business Mailing Address:
HEART CARE CENTERS OF ILLINOIS, S.C.
Provider Business Mailing Address City Name:
MOKENA
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
60448-8012
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
708-478-3600
Provider Business Mailing Address Fax Number:
708-390-2130

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1101 MADISON ST STE 301
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SEATTLE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98104-3599
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-505-1300
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/18/2008

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  042007998 , registered in the state of IL ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207RC0000X , with the licence number: 036115530 , registered in the state of IL ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207RC0000X , with the licence number: 042007998 , registered in the state of IL ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207RC0000X , with the licence number: MD60740452 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 036115530 , issued by the state of ( IL ) . This identifiers is of the category "MEDICAID".
  • Identifier: CD8033 . This is a "RAILROAD MEDICARE PART B GROUP PTAN" identifier , issued by the state of ( IL ) . This identifiers is of the category "OTHER".
  • Identifier: 1508810086 . This is a "HEART CARE CENTERS OF ILLINOIS GROUP NPI" identifier . This identifiers is of the category "OTHER".
  • Identifier: P00737022 . This is a "RAILROAD MEDICARE PART B GROUP MEMBER PTAN" identifier , issued by the state of ( IL ) . This identifiers is of the category "OTHER".




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