Healthcare Provider Details

I. General information

NPI: 1972418697
Provider Name (Legal Business Name): AREEBA ALEEM PARACHA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1075 COOPER RD STE 101
GRAYSON GA
30017-4268
US

IV. Provider business mailing address

1316 CALIBRE SPRINGS WAY
SANDY SPRINGS GA
30342-1881
US

V. Phone/Fax

Practice location:
  • Phone: 470-474-2256
  • Fax:
Mailing address:
  • Phone: 470-474-2256
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDN124347
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: