Individual
CHAITANYA ACHARYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4100 LAKE DR SE, S-200, GRAND RAPIDS, MI 49546-8292
(616) 949-8244
Mailing address
4085 BURTON ST SE, S-200, GRAND RAPIDS, MI 49546-2444
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
4301032385
MI
Other
Enumeration date
05/27/2006
Last updated
07/08/2007
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