Provider Demographics
NPI:1578918231
Name:ACHHRA, AMIT CHANDERLAL (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:AMIT
Middle Name:CHANDERLAL
Last Name:ACHHRA
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:135 COLLEGE ST
Mailing Address - Street 2:
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06510-2483
Mailing Address - Country:US
Mailing Address - Phone:203-688-5303
Mailing Address - Fax:
Practice Address - Street 1:20 YORK ST
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06510-3220
Practice Address - Country:US
Practice Address - Phone:203-688-5303
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-02
Last Update Date:2021-07-02
Deactivation Date:2017-01-05
Deactivation Code:
Reactivation Date:2017-05-26
Provider Licenses
StateLicense IDTaxonomies
CT67057207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease