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Individual

DR. GOVIND ACHARYA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5121 N CENTRAL AVE, PHOENIX, AZ 85012
(602) 266-2772
Mailing address
5121 N CENTRAL AVENUE, PHOENIX, AZ 85012
(602) 266-2772
(602) 266-4856

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
12166
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
218190
PHOENIX HEALTH PLAN
01
3453358
AETNA
Enumeration date
12/14/2006
Last updated
03/25/2020
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