Provider Demographics
NPI:1235513672
Name:PARRAGA, TOMMY JHON (MD)
Entity Type:Individual
Prefix:DR
First Name:TOMMY
Middle Name:JHON
Last Name:PARRAGA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1102 MONROE ST SW
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-5029
Mailing Address - Country:US
Mailing Address - Phone:256-469-7200
Mailing Address - Fax:256-469-7201
Practice Address - Street 1:1102 MONROE ST SW
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-5029
Practice Address - Country:US
Practice Address - Phone:256-469-7200
Practice Address - Fax:256-469-7201
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-15
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL42133207RI0200X
MI4301108363207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine