Provider Demographics
NPI:1174639751
Name:PARACHA, FAUZIA (MD)
Entity Type:Individual
Prefix:
First Name:FAUZIA
Middle Name:
Last Name:PARACHA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5109 ROUTE 9W STE 2
Mailing Address - Street 2:
Mailing Address - City:NEWBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12550-1945
Mailing Address - Country:US
Mailing Address - Phone:845-562-6240
Mailing Address - Fax:845-562-6246
Practice Address - Street 1:5109 ROUTE 9W STE 2
Practice Address - Street 2:
Practice Address - City:NEWBURGH
Practice Address - State:NY
Practice Address - Zip Code:12550-1945
Practice Address - Country:US
Practice Address - Phone:845-562-6240
Practice Address - Fax:845-562-6246
Is Sole Proprietor?:No
Enumeration Date:2006-08-23
Last Update Date:2019-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY200338-1207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01726489Medicaid
NY01726489Medicaid
NY771951Medicare ID - Type Unspecified