Individual
MR. PARHAM MORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
645 MCQUEEN SMITH RD N, SUITE 205, PRATTVILLE, AL 36066-7268
(334) 361-6126
(334) 361-6177
Mailing address
645 MCQUEEN SMITH RD N, SUITE 205, PRATTVILLE, AL 36066-7268
(334) 361-6126
(334) 361-6177
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
20392
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020048725
RAILROAD MEDICARE I.D.
AL
05
—
051501010
—
AL
01
—
51501010
BLUE CROSS I.D.
AL
05
—
529909730
—
AL
Enumeration date
05/03/2006
Last updated
08/10/2009
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