Individual
SAMIR J PARIKH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
205 N EAST AVE, IMAGING DEPT, JACKSON, MI 49201-1753
(517) 783-2612
(517) 783-5991
Mailing address
2800 SPRING ARBOR RD STE 102, PO BOX 905, JACKSON, MI 49203-3895
(517) 783-2612
(517) 783-5991
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4301063021
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3003388231
BCBS OF MICHIGAN
MI
01
—
4301063021
STATE OF MICHIGAN MEDICAL LICENSE
MI
05
—
4589970
—
MI
01
—
P00110238
RAILROAD MEDICARE
—
Enumeration date
08/09/2005
Last updated
11/05/2015
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