MEDICARE: KANCHAN PARASHER MD PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	61371	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2088659	OTHER	FL	AETNA
2	18061	OTHER	FL	BCBS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053519843
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KANCHAN PARASHER MD PA

Provider Business Mailing Address
First Line	:	11017 N DALE MABRY HWY
Second Line	:	STE B
City	:	TAMPA
State	:	FL
Zip	:	33618-3873
Country	:	US
Telephone Number	:	813-968-1727
Fax Number	:	813-265-8920

Provider Business Practice Location Address
First Line	:	11017 N DALE MABRY HWY
Second Line	:	STE B
City	:	TAMPA
State	:	FL
Zip	:	33618-3873
Country	:	US
Telephone Number	:	813-968-1727
Fax Number	:	813-265-8920

Authorized Official
Title or Position	:	MEDICAL BILLER
Name	:	VINA M BEECH
Credential	:
Telephone Number	:	813-968-1727

Provider Enumeration Date	:	07/03/2007
Last Update Date	:	06/30/2008

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Directions to “KANCHAN PARASHER MD PA ” Practice Location

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