Provider Demographics
NPI:1891683355
Name:ASIF PARACHA, MAHNOOR
Entity type:Individual
Prefix:
First Name:MAHNOOR
Middle Name:
Last Name:ASIF PARACHA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:80 DAMON RD APT 3202
Mailing Address - Street 2:
Mailing Address - City:NORTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01060-1850
Mailing Address - Country:US
Mailing Address - Phone:413-463-0201
Mailing Address - Fax:
Practice Address - Street 1:19735 GERMANTOWN RD STE 120
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20874-1225
Practice Address - Country:US
Practice Address - Phone:240-454-6790
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-25
Last Update Date:2025-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD30495225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist