Provider Demographics
NPI:1750814109
Name:ACHARYA, AJITA (MD)
Entity type:Individual
Prefix:
First Name:AJITA
Middle Name:
Last Name:ACHARYA
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:PO BOX 37189
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21297-3189
Mailing Address - Country:US
Mailing Address - Phone:571-423-5699
Mailing Address - Fax:571-423-5698
Practice Address - Street 1:1800 N BEAUREGARD ST STE 100
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22311-1726
Practice Address - Country:US
Practice Address - Phone:703-933-8111
Practice Address - Fax:703-379-3965
Is Sole Proprietor?:No
Enumeration Date:2017-04-04
Last Update Date:2022-07-21
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Provider Licenses
StateLicense IDTaxonomies
VA0101268197207R00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine