MEDICARE: DR. MARTHA JANE PARAH MD

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		NC

General Provider Information

NPI Number	:	1013133917
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARTHA JANE PARAH MD

Provider Business Mailing Address
First Line	:	5017 FRIENDS SCHOOL RD
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27705-8171
Country	:	US
Telephone Number	:	919-383-6828
Fax Number	:	919-383-7219

Provider Business Practice Location Address
First Line	:	5017 FRIENDS SCHOOL RD
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27705-8171
Country	:	US
Telephone Number	:	919-383-6828
Fax Number	:	919-383-7219

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/18/2007
Last Update Date	:	07/08/2007

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