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NPI Code Detail

MEDICARE: DR. ACHAL R DHRUVA MD

MEDICARE: DR. ACHAL R DHRUVA MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Y00000XOtolaryngology PhysicianM3209TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1154336212
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ACHAL R DHRUVA MD
Provider Business Mailing Address
First Line : 4515 SETON CENTER PKWY
Second Line : SUITE 215 - CREDENTIALING
City : AUSTIN
State : TX
Zip : 78759-5290
Country : US
Telephone Number : 512-231-5506
Fax Number : 512-406-6216
Provider Business Practice Location Address
First Line : 1401 MEDICAL PKWY STE 200
Second Line :
City : CEDAR PARK
State : TX
Zip : 78613-5026
Country : US
Telephone Number : 512-260-1581
Fax Number : 512-406-7309
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/29/2006
Last Update Date : 05/18/2016

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