Provider Demographics
NPI:1023029287
Name:ACHI, JYOTHI NAPEENA (MD)
Entity Type:Individual
Prefix:
First Name:JYOTHI
Middle Name:NAPEENA
Last Name:ACHI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:JYOTHI
Other - Middle Name:NAPEENA
Other - Last Name:VANGIPURAM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 392929 STE 232
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15251-0001
Mailing Address - Country:US
Mailing Address - Phone:713-461-2915
Mailing Address - Fax:713-461-5307
Practice Address - Street 1:1210 KINGWOOD DR STE A
Practice Address - Street 2:
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-3036
Practice Address - Country:US
Practice Address - Phone:713-461-2915
Practice Address - Fax:713-461-5307
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-11
Last Update Date:2023-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL0966207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX141663801Medicaid
TX00894MMedicare ID - Type Unspecified
TXH32988Medicare UPIN