Individual
RAOUL J K ACHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1102 W MACARTHUR ST, SHAWNEE, OK 74804-1743
(405) 273-2270
Mailing address
12717 QUAKER DR, OKLAHOMA CITY, OK 73120-5135
(181) 790-3473
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4883
OK
363AM0700X
Medical Physician Assistant
4883
OK
Other
Enumeration date
11/01/2022
Last updated
12/13/2022
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