Mora, Parham

Mora, Parham is an individual health care provider with primary practice located at 645 Mcqueen Smith Rd N Suite 205, Prattville AL 36066-7268. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Mora, Parham can be contacted via phone (334) 361-6126.

Contact Information

Primary practice address
645 Mcqueen Smith Rd N Suite 205 Prattville AL 36066-7268
Fax: (334) 361-6177
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 20392 Alabama

Profile Details

NPI number 1417915679
LBN Legal business name Mora, Parham
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Aug 10th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417915679 NPPES
Alabama MEDICAID 529909730
Alabama Other 51501010
Alabama Other 020048725
Alabama MEDICAID 051501010

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