Provider Demographics
NPI:1225023716
Name:ACHARYA, MURALIDHAR K (MD)
Entity Type:Individual
Prefix:DR
First Name:MURALIDHAR
Middle Name:K
Last Name:ACHARYA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:14134 NEPHRON LN
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:FL
Mailing Address - Zip Code:34667-6504
Mailing Address - Country:US
Mailing Address - Phone:727-863-5418
Mailing Address - Fax:727-869-8626
Practice Address - Street 1:14134 NEPHRON LN
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:FL
Practice Address - Zip Code:34667-6504
Practice Address - Country:US
Practice Address - Phone:727-863-5418
Practice Address - Fax:727-869-8626
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-12
Last Update Date:2010-08-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME0031702207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
51098YOtherMEDICARE
933345OtherFIRST HEALTH
933345OtherCCN
PRO0001OtherQUALITY DELTA
0005825358OtherAETNA
110082970OtherMEDICARE RR
593068073OtherSOUTHCARE
FL037741400Medicaid
09599OtherWELLCARE
01242OtherUNIVERSAL
1973020OtherCIGNA
0096054OtherGHI
1002OtherOPTIMUM
593068073OtherPCHS
593068073OtherHUMANA
593068073OtherHUMANA MILITARY
037741400OtherMEDICAID
102505OtherAV MED
593068073OtherHUMANA MILITARY
593068073OtherPCHS