Doctor Name: | PRASAD ACHARYA |
NPI Number: | 1699919878 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD, MBA |
License Number: | D0080949 |
Business Practice Address: | 7 Metropolitan Ct Ste 1 Gaithersburg, MD - 208784016 |
Business Phone Number: | 2407730300 |
Business Fax Number: | |
Mailing Address: | 14613 Pommel Dr, ROCKVILLE |
State: | MD |
Postal Code: | 208503542 |
Phone Number: | 2028304139 |
Fax Number: | |
NPI Enumeration Date: | 05/01/2009 |
NPI Last Update Date: | 02/26/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | D0080949 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |