Individual
DR. VINITA JAYANT ACHARYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
751 N RUTLEDGE ST STE 3100, SPRINGFIELD, IL 62702-4968
(217) 545-8000
(217) 545-7363
Mailing address
PO BOX 858, MC A410, HERSHEY, PA 17033-0858
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
2084E0001X
Epilepsy Physician
Primary
036.163125
IL
2084N0400X
Neurology Physician
MD438385
PA
390200000X
Student in an Organized Health Care Education/Training Program
2004019665
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1024392970001
—
PA
Enumeration date
06/19/2007
Last updated
08/04/2025
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