Individual
DR. VIJAYA ACHANTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
20800 WESTGATE MALL, #400, FAIRVIEW PARK, OH 44126-1323
(440) 356-2272
(440) 356-2299
Mailing address
20800 WESTGATE MALL, #400, FAIRVIEW PARK, OH 44126-1323
(440) 356-2272
(440) 356-2299
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35054422
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0736234
—
OH
Enumeration date
07/10/2006
Last updated
07/08/2007
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