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Individual

KALPANA RAVINDRA ACHARYA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
29 PINE STREET, SOUTHBRIDGE, MA 21550
(508) 765-9167
(508) 764-2462
Mailing address
PO BOX 338, DUDLEY, MA 01571
(508) 765-9167
(508) 764-2462

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
36998
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300040
MA
Enumeration date
08/30/2006
Last updated
05/20/2015
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