Provider Demographics
NPI:1184030918
Name:KARIM A PARACHA PHYSICIAN PC
Entity Type:Organization
Organization Name:KARIM A PARACHA PHYSICIAN PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KARIM
Authorized Official - Middle Name:A
Authorized Official - Last Name:PARACHA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:631-675-6865
Mailing Address - Street 1:4 TECHNOLOGY DR
Mailing Address - Street 2:SUITE 240
Mailing Address - City:EAST SETAUKET
Mailing Address - State:NY
Mailing Address - Zip Code:11733-4080
Mailing Address - Country:US
Mailing Address - Phone:631-675-6865
Mailing Address - Fax:631-403-4737
Practice Address - Street 1:4 TECHNOLOGY DR
Practice Address - Street 2:SUITE 240
Practice Address - City:EAST SETAUKET
Practice Address - State:NY
Practice Address - Zip Code:11733-4080
Practice Address - Country:US
Practice Address - Phone:631-675-6865
Practice Address - Fax:631-403-4737
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-01
Last Update Date:2015-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty