Provider Demographics
NPI:1720099765
Name:CHARY, ACHI P (MD)
Entity Type:Individual
Prefix:
First Name:ACHI
Middle Name:P
Last Name:CHARY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:ACHI
Other - Middle Name:PANDURANGA
Other - Last Name:CHARY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:6006 RUNNING CREEK CT
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77345-1966
Mailing Address - Country:US
Mailing Address - Phone:281-312-5006
Mailing Address - Fax:281-852-7579
Practice Address - Street 1:22999 U.S. HWY. 59N.
Practice Address - Street 2:STE 232
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339
Practice Address - Country:US
Practice Address - Phone:281-312-5006
Practice Address - Fax:281-852-7579
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-11
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL0075207R00000X, 207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX044950601Medicaid
TX0013JUOtherBLUECROSS/BLUE SHIELD
TX460499364OtherTAX ID
TX1-119727OtherTMLT
TX0013JUOtherBLUECROSS/BLUE SHIELD
TX8A0807Medicare ID - Type UnspecifiedCLEVELAND
TX8A0808Medicare ID - Type UnspecifiedKINGWOOD