Healthcare Provider Details

I. General information

NPI: 1356993752
Provider Name (Legal Business Name): ASHU ACHARYA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/15/2019
Last Update Date: 12/13/2024
Certification Date: 12/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2116 W LABURNUM AVE
RICHMOND VA
23227-4359
US

IV. Provider business mailing address

2116 W LABURNUM AVE
RICHMOND VA
23227-4359
US

V. Phone/Fax

Practice location:
  • Phone: 804-254-3500
  • Fax: 804-254-1616
Mailing address:
  • Phone: 804-254-3500
  • Fax: 804-254-1616

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number0101274200
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: