Individual provider · NPI-1

Dr. Ajay A Acharya, MD

Internal Medicine · Gainesville, FL

NPI number1831201862
StatusActive
Last updated in NPPESDec 21, 2020

Details

NPI
1831201862
Entity type
Individual (NPI-1)
Name
Dr. Ajay A Acharya
Credential
MD
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 31, 2006
Certification date
Dec 21, 2020
Last updated
Dec 21, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine13819MSYes

Practice location

1601 Sw Archer Rd
Gainesville, FL 32608-1135

Phone 352-376-1611 · Fax 352-379-4174

Mailing address

9454 Three Rivers Rd
Ste D
Gulfport, MS 39503-4294

Phone 228-575-2660 · Fax 228-863-0502

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