Provider Demographics
NPI:1396720181
Name:OHRI, ACHHINDER KUMAR (MD)
Entity type:Individual
Prefix:
First Name:ACHHINDER
Middle Name:KUMAR
Last Name:OHRI
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 1:2100 CENTRAL AVENUE
Mailing Address - Street 2:SUITE 3
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30904-6709
Mailing Address - Country:US
Mailing Address - Phone:706-729-8989
Mailing Address - Fax:706-729-8930
Practice Address - Street 1:2100 CENTRAL AVENUE
Practice Address - Street 2:SUITE 3
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30904-6709
Practice Address - Country:US
Practice Address - Phone:706-729-8989
Practice Address - Fax:706-729-8930
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA021566208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCG21566Medicaid
D42342Medicare UPIN
SCG21566Medicaid