Provider Demographics
NPI:1750307682
Name:ACHARI, AMRIT N (MD)
Entity Type:Individual
Prefix:DR
First Name:AMRIT
Middle Name:N
Last Name:ACHARI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8915 GAYLORD ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-2903
Mailing Address - Country:US
Mailing Address - Phone:713-780-8144
Mailing Address - Fax:713-780-4484
Practice Address - Street 1:8915 GAYLORD ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-2903
Practice Address - Country:US
Practice Address - Phone:713-780-8144
Practice Address - Fax:713-780-4484
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXB207752084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
B20775Medicare UPIN
TX84900FMedicare ID - Type Unspecified
TX0029BMMedicare ID - Type UnspecifiedEMP