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NPI Code Detail

MEDICARE: GOVIND ACHARYA

MEDICARE: GOVIND ACHARYA
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
1111N00000XChiropractor
2208VP0014XInterventional Pain Medicine Physician
3261QM1300XMulti-Specialty Clinic/Center
4208200000XPlastic Surgery Physician12166AZ

General Provider Information

NPI Number : 1417139031
Entity Type Code : Organization
Provider Name (Legal Business Name) : GOVIND ACHARYA
Provider Business Mailing Address
First Line : 2320 N 3RD ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85004-1303
Country : US
Telephone Number : 602-266-2772
Fax Number : 602-616-0603
Provider Business Practice Location Address
First Line : 2320 N 3RD ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85004-1303
Country : US
Telephone Number : 602-266-2772
Fax Number : 480-616-0603
Authorized Official
Title or Position : PRESIDENT
Name : DR. GOVIND ACHARYA
Credential : M.D.
Telephone Number : 602-266-2772
Provider Enumeration Date : 12/05/2007
Last Update Date : 03/10/2025

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Directions to “GOVIND ACHARYA ” Practice Location

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