# DR. KAMLESH RAJ ACHARYA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1093936437
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 4301089172 | MI | — |
| 207Q00000X | Family Medicine Physician | MD346566 | PA | Yes |

## Other

- **Enumeration date:** 05/02/2007
- **Last updated:** 01/09/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 08OG21014 | BCBS | MI |
| 05 | — | 102298368 | — | PA |
| 05 | — | 5200837 | — | MI |
| 05 | — | 5201431 | — | MI |
| 01 | — | 700G210140 | BCBS | MI |