Provider Demographics
NPI:1669574653
Name:ACHARYA, SATYA SUNDERRAJAN (MD)
Entity type:Individual
Prefix:DR
First Name:SATYA
Middle Name:SUNDERRAJAN
Last Name:ACHARYA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:9293 STATE ROUTE 43
Mailing Address - Street 2:#B
Mailing Address - City:STREETSBORO
Mailing Address - State:OH
Mailing Address - Zip Code:44241-5374
Mailing Address - Country:US
Mailing Address - Phone:330-626-1113
Mailing Address - Fax:330-626-1133
Practice Address - Street 1:9293 STATE ROUTE 43
Practice Address - Street 2:#B
Practice Address - City:STREETSBORO
Practice Address - State:OH
Practice Address - Zip Code:44241-5374
Practice Address - Country:US
Practice Address - Phone:330-626-1113
Practice Address - Fax:330-626-1133
Is Sole Proprietor?:No
Enumeration Date:2006-09-01
Last Update Date:2014-01-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH35-076527207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
H35277Medicare UPIN