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General NPI Number Information
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NPI Number | 1871671453
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Entity Type | Individual
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Provider Name | MALATHI ACHARYA M.D.
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Gender | Female
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 01/08/2025
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Provider Practice Location Address
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Address Line | 130 PORTOLA RD STE F
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City | PORTOLA VALLEY
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State | CA
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Zip | 94028-7844
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Country | US
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Telephone | 650-671-2023
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Fax |
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Provider Business Mailing Address
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Address Line | 2500 MERCED ST
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City | SAN LEANDRO
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State | CA
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Zip | 94577-4201
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Country | US
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Telephone | 510-454-1000
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A64136
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 202D00000X
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Taxonomy Name | Integrative Medicine Physician
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License Number | A64136
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License Number State | CA
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