Provider Demographics
NPI:1790765303
Name:PAROYA, NADEEM A (MD)
Entity Type:Individual
Prefix:DR
First Name:NADEEM
Middle Name:A
Last Name:PAROYA
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 1:3149 LINCOLN HWY
Mailing Address - Street 2:
Mailing Address - City:THORNDALE
Mailing Address - State:PA
Mailing Address - Zip Code:19372-1129
Mailing Address - Country:US
Mailing Address - Phone:610-857-3445
Mailing Address - Fax:484-318-2303
Practice Address - Street 1:3149 LINCOLN HWY
Practice Address - Street 2:
Practice Address - City:THORNDALE
Practice Address - State:PA
Practice Address - Zip Code:19372-1129
Practice Address - Country:US
Practice Address - Phone:610-857-3445
Practice Address - Fax:484-318-2303
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-19
Last Update Date:2016-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD422340207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0019680470001Medicaid
PA1968047Medicaid
PA073832Medicare ID - Type Unspecified
PA1968047Medicaid