Provider Demographics
NPI:1275508715
Name:PIRACHA, SAMIA (MD)
Entity Type:Individual
Prefix:
First Name:SAMIA
Middle Name:
Last Name:PIRACHA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SAMIA
Other - Middle Name:RASHID
Other - Last Name:PIRACHA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 3650
Mailing Address - Street 2:
Mailing Address - City:MERRIFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:22116-3650
Mailing Address - Country:US
Mailing Address - Phone:703-698-4483
Mailing Address - Fax:703-573-0880
Practice Address - Street 1:2722 MERRILEE DR
Practice Address - Street 2:SUITE 230
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22031-4400
Practice Address - Country:US
Practice Address - Phone:703-698-4483
Practice Address - Fax:703-573-0880
Is Sole Proprietor?:No
Enumeration Date:2006-02-20
Last Update Date:2008-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01012401042085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0094OtherCAREFIRST
WV3810003557Medicaid
VA0101240104OtherLICENSE
VAP00459669OtherRR MEDICARE
VAP00345276Medicare PIN
VA0101240104OtherLICENSE
VA012438F12Medicare PIN