Provider Demographics
NPI:1053563163
Name:PARIKH, VAIBHAVE Y (MD)
Entity type:Individual
Prefix:
First Name:VAIBHAVE
Middle Name:Y
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 1:10907 MEMORIAL HERMANN DR STE 300
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-4194
Mailing Address - Country:US
Mailing Address - Phone:713-955-3755
Mailing Address - Fax:
Practice Address - Street 1:10907 MEMORIAL HERMANN DR STE 300
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-4194
Practice Address - Country:US
Practice Address - Phone:713-955-3755
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-21
Last Update Date:2018-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN9109207L00000X, 208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200999120Medicaid
TXTXB146079Medicare PIN
INN400015443Medicare UPIN