MEDICARE: DR. MUNAWAR AHMAD PARACHA 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	2084N0400X	Neurology Physician	25814	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1912962549
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MUNAWAR AHMAD PARACHA M.D.

Provider Business Mailing Address
First Line	:	1708 SYCAMORE AVE
Second Line	:
City	:	KINGMAN
State	:	AZ
Zip	:	86409-0927
Country	:	US
Telephone Number	:	928-757-7100
Fax Number	:	928-757-7255

Provider Business Practice Location Address
First Line	:	1708 SYCAMORE AVE
Second Line	:
City	:	KINGMAN
State	:	AZ
Zip	:	86409-0927
Country	:	US
Telephone Number	:	928-757-7100
Fax Number	:	928-757-7255

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

Provider Enumeration Date	:	04/18/2006
Last Update Date	:	01/15/2018

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