Healthcare Provider Details

I. General information

NPI: 1336406636
Provider Name (Legal Business Name): MONIKA ACHARYA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/12/2012
Last Update Date: 04/29/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2401 W BELVEDERE AVE
BALTIMORE MD
21215-5216
US

IV. Provider business mailing address

35 K ST NE
WASHINGTON DC
20002-4216
US

V. Phone/Fax

Practice location:
  • Phone: 410-601-5355
  • Fax: 410-601-6302
Mailing address:
  • Phone: 202-442-4105
  • Fax: 202-371-1657

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMD040134
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: