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NPI Code Detail

MEDICARE: SONIA PARACHA MD

MEDICARE: SONIA PARACHA 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
1390200000XStudent in an Organized Health Care Education/Training Program
2207Q00000XFamily Medicine Physician23960NV

General Provider Information

NPI Number : 1316574361
Entity Type Code : Individual
Provider Name (Legal Business Name) : SONIA PARACHA MD
Provider Business Mailing Address
First Line : 320 CORSICANA ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89138-1596
Country : US
Telephone Number : 928-458-6723
Fax Number :
Provider Business Practice Location Address
First Line : 6655 S CIMARRON RD STE 100
Second Line :
City : LAS VEGAS
State : NV
Zip : 89113-2181
Country : US
Telephone Number : 702-853-3565
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2020
Last Update Date : 07/19/2023

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