MEDICARE: DR. MOHAMAD MEHDI PARVA M.D.

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	207V00000X	Obstetrics & Gynecology Physician	2023-00789	NC
2	207V00000X	Obstetrics & Gynecology Physician	0101249774	VA

General Provider Information

NPI Number	:	1366674095
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MOHAMAD MEHDI PARVA M.D.

Provider Business Mailing Address
First Line	:	112 MEDICAL DR
Second Line	:
City	:	ELIZABETH CITY
State	:	NC
Zip	:	27909-3361
Country	:	US
Telephone Number	:	252-384-2610
Fax Number	:	844-494-0230

Provider Business Practice Location Address
First Line	:	112 MEDICAL DR
Second Line	:
City	:	ELIZABETH CITY
State	:	NC
Zip	:	27909-3361
Country	:	US
Telephone Number	:	252-384-2610
Fax Number	:	844-494-0230

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

Provider Enumeration Date	:	08/13/2009
Last Update Date	:	03/19/2026

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