Individual
PRAKASH ACHARYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-2882
(410) 328-7607
Mailing address
PO BOX 64442, BALTIMORE, MD 21264-4442
(410) 328-2882
(410) 328-7607
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT194223
PA
208M00000X
Hospitalist Physician
Primary
D0000
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
335612400
—
MD
01
—
S062-0487
CAREFIRST BC/BS
MD
Enumeration date
07/31/2009
Last updated
10/27/2014
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