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Individual

DR. KAMLESH RAJ ACHARYA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2145 NOLL DR, LANCASTER, PA 17603-7600
(717) 397-4921
(717) 397-7170
Mailing address
2145 NOLL DR, LANCASTER, PA 17603-7600
(717) 397-4921

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4301089172
MI
207Q00000X
Family Medicine Physician
Primary
MD346566
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
08OG21014
BCBS
MI
05
102298368
PA
05
5200837
MI
05
5201431
MI
01
700G210140
BCBS
MI
Enumeration date
05/02/2007
Last updated
01/09/2021
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