Healthcare Provider Details

I. General information

NPI: 1043157670
Provider Name (Legal Business Name): ALI AHMED PARCHA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2026
Last Update Date: 05/01/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

SOUTHAVEN FAMILY PRACTICE 7736 AIRWAYS BLVD
SOUTHAVEN MS
38671
US

IV. Provider business mailing address

BAPTIST MEMORIAL - DESOTO 7601 SOUTHCREST PKWY
SOUTHAVEN MS
38671
US

V. Phone/Fax

Practice location:
  • Phone: 662-772-3700
  • Fax:
Mailing address:
  • Phone: 662-772-3700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: