Provider Demographics
NPI:1629211008
Name:PARACHA, TAYYAB I (MD)
Entity Type:Individual
Prefix:
First Name:TAYYAB
Middle Name:I
Last Name:PARACHA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:235 S WATER ST
Mailing Address - Street 2:
Mailing Address - City:MARTINSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:25401-4241
Mailing Address - Country:US
Mailing Address - Phone:304-263-8954
Mailing Address - Fax:304-264-0763
Practice Address - Street 1:LOUDOUN COUNTY MENTAL HEALTH
Practice Address - Street 2:102 HERITAGE WAY NE #302
Practice Address - City:LEESBURG
Practice Address - State:VA
Practice Address - Zip Code:20177
Practice Address - Country:US
Practice Address - Phone:703-771-5155
Practice Address - Fax:304-264-0763
Is Sole Proprietor?:No
Enumeration Date:2009-04-14
Last Update Date:2022-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01012577832084P0800X
WV252542084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry