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Individual

ACHI P CHARY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
22999 U.S. HWY. 59N., STE 232, KINGWOOD, TX 77339
(281) 312-5006
(281) 852-7579
Mailing address
6006 RUNNING CREEK CT, KINGWOOD, TX 77345-1966
(281) 312-5006
(281) 852-7579

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
L0075
TX
207RN0300X
Nephrology Physician
Primary
L0075
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0013JU
BLUECROSS/BLUE SHIELD
TX
05
044950601
TX
01
1-119727
TMLT
TX
01
460499364
TAX ID
TX
Enumeration date
08/11/2006
Last updated
04/03/2024
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