Individual
DR. ACHALA DONURU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
111 S 11TH ST, SUITE 3390, PHILADELPHIA, PA 19107-4824
(215) 955-6226
(215) 923-1562
Mailing address
615 CHESTNUT ST, SUITE 14TH, PHILADELPHIA, PA 19106-4404
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD434642
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0186791
—
NJ
05
—
1022529860001
—
PA
Enumeration date
09/16/2008
Last updated
02/24/2014
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