Provider Demographics
NPI:1871584441
Name:PARIKH, BHARAT V (MD)
Entity type:Individual
Prefix:DR
First Name:BHARAT
Middle Name:V
Last Name:PARIKH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 207
Mailing Address - Street 2:
Mailing Address - City:CRYSTAL RIVER
Mailing Address - State:FL
Mailing Address - Zip Code:34423-0207
Mailing Address - Country:US
Mailing Address - Phone:352-422-2680
Mailing Address - Fax:352-527-0368
Practice Address - Street 1:657 W BRITAIN ST
Practice Address - Street 2:
Practice Address - City:HERNANDO
Practice Address - State:FL
Practice Address - Zip Code:34442-8323
Practice Address - Country:US
Practice Address - Phone:352-422-2680
Practice Address - Fax:352-527-0368
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-02
Last Update Date:2024-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME00447942084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL035412100Medicaid
09072ZMedicare ID - Type Unspecified
FL035412100Medicaid