Provider Demographics
NPI:1255020715
Name:ACHAREKAR, MAITRI VIBHAS (MD)
Entity type:Individual
Prefix:DR
First Name:MAITRI
Middle Name:VIBHAS
Last Name:ACHAREKAR
Suffix:
Gender:F
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:BRG MID CITY MEDICINE CLINIC, 3401 NORTH BOULEVARD
Mailing Address - Street 2:SUITE 130
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70806
Mailing Address - Country:US
Mailing Address - Phone:225-387-7900
Mailing Address - Fax:
Practice Address - Street 1:BRG MID CITY MEDICINE CLINIC, 3401 NORTH BOULEVARD
Practice Address - Street 2:SUITE 130
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70806
Practice Address - Country:US
Practice Address - Phone:225-387-7900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-02
Last Update Date:2023-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program