Individual
BODHRAJ ACHARYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
481 EDWARD H ROSS DR, ELMWOOD PARK, NJ 07407-3118
(314) 415-1598
Mailing address
481 EDWARD H ROSS DR, ELMWOOD PARK, NJ 07407-3118
(314) 415-1598
Taxonomy
Speciality
Code
Description
License number
State
207ZH0000X
Hematology (Pathology) Physician
ACHAB1HEMA
NY
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
ACHAB1CLIN
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ACHAB1CLIN
CLINICAL CHEMISTRY
NY
01
—
ACHAB1HEMA
PATHOLOGY
NY
Enumeration date
01/24/2023
Last updated
01/24/2023
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