Provider Demographics
NPI:1073549325
Name:PARAB, RESHMA S (MD)
Entity Type:Individual
Prefix:
First Name:RESHMA
Middle Name:S
Last Name:PARAB
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1101 SAM PERRY BLVD
Mailing Address - Street 2:SUITE 305
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22401-4467
Mailing Address - Country:US
Mailing Address - Phone:540-374-3290
Mailing Address - Fax:540-374-3289
Practice Address - Street 1:1101 SAM PERRY BLVD
Practice Address - Street 2:SUITE 305
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22401-4467
Practice Address - Country:US
Practice Address - Phone:540-374-3290
Practice Address - Fax:540-374-3289
Is Sole Proprietor?:No
Enumeration Date:2006-06-25
Last Update Date:2007-12-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0101240079207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0101240079OtherSTATE LICENSE
VA0101240079OtherSTATE LICENSE