Healthcare Provider Details

I. General information

NPI: 1285326520
Provider Name (Legal Business Name): NISTHA ACHARYA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/24/2023
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 ARCH ST STE G1
AKRON OH
44304-1423
US

IV. Provider business mailing address

55 ARCH ST STE G1
AKRON OH
44304-1423
US

V. Phone/Fax

Practice location:
  • Phone: 330-375-3009
  • Fax: 330-375-3804
Mailing address:
  • Phone: 330-375-3009
  • Fax: 330-375-3804

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number57.261018
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: