Healthcare Provider Details
I. General information
NPI: 1144803388
Provider Name (Legal Business Name): DEEKSHA NARASIMHA ACHARYA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/05/2021
Last Update Date: 11/24/2025
Certification Date: 11/24/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2451 UNIVERSITY HOSPITAL DR # 212
MOBILE AL
36617-2300
US
IV. Provider business mailing address
2451 UNIVERSITY HOSPITAL DR # 212
MOBILE AL
36617-2300
US
V. Phone/Fax
- Phone: 251-471-7207
- Fax:
- Phone: 251-445-8282
- Fax: 251-445-8281
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RC0000X |
| Taxonomy | Cardiovascular Disease Physician |
| License Number | 51122 |
| License Number State | AL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 390200000X |
| Taxonomy | Student in an Organized Health Care Education/Training Program |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: