Provider Demographics
NPI:1053372995
Name:PARIKH, AJAY R (MD)
Entity type:Individual
Prefix:DR
First Name:AJAY
Middle Name:R
Last Name:PARIKH
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3333 N CALVERT ST
Mailing Address - Street 2:STE 605 JOHNSTON PROFESSIONAL BLDG
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21218
Mailing Address - Country:US
Mailing Address - Phone:410-889-8899
Mailing Address - Fax:410-889-7924
Practice Address - Street 1:3333 N CALVERT ST
Practice Address - Street 2:STE 605 JOHNSTON PROFESSIONAL BLDG
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21218
Practice Address - Country:US
Practice Address - Phone:410-889-8899
Practice Address - Fax:410-889-7924
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-30
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD36212208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
5949AROtherCARE FIRST BLUE SHIELD
D77977Medicare UPIN
5949AROtherCARE FIRST BLUE SHIELD