Individual
DR. PRAMOD ACHARYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9200 W WISCONSIN AVE, DEPT OF INTERNAL MEDICINE, MILWAUKEE, WI 53226-3522
(414) 955-0350
(414) 805-6851
Mailing address
9200 W WISCONSIN AVE, DEPT OF INTERNAL MEDICINE, MILWAUKEE, WI 53226-3522
(414) 955-0350
(414) 805-6851
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301095512
MI
207R00000X
Internal Medicine Physician
65783
WI
208M00000X
Hospitalist Physician
Primary
65783
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1932439254
—
WI
Enumeration date
01/08/2010
Last updated
03/15/2023
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