Individual
PRASAD ACHARYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MBA
Contact information
Practice address
3110 KERNER BLVD, SAN RAFAEL, CA 94901-5411
(415) 448-1500
Mailing address
14613 POMMEL DR, ROCKVILLE, MD 20850-3542
(202) 830-4139
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A155413
CA
208D00000X
General Practice Physician
D0080949
MD
Other
Enumeration date
05/01/2009
Last updated
01/11/2021
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