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NPI Code Detail

MEDICARE: PRASAD G. ACHARYA M.D.

MEDICARE: PRASAD G. ACHARYA M.D.
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
1207RN0300XNephrology PhysicianMA 75915NJ

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 : 1295783785
Entity Type Code : Individual
Provider Name (Legal Business Name) : PRASAD G. ACHARYA M.D.
Provider Business Mailing Address
First Line : 1261 ROUTE 38
Second Line : SUITE A
City : HAINESPORT
State : NJ
Zip : 08036-2702
Country : US
Telephone Number : 856-222-1975
Fax Number : 856-222-0721
Provider Business Practice Location Address
First Line : 1261 ROUTE 38
Second Line : SUITE A
City : HAINESPORT
State : NJ
Zip : 08036-2702
Country : US
Telephone Number : 856-222-1975
Fax Number : 856-222-0721
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2006
Last Update Date : 05/06/2013

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