Provider Demographics
NPI:1932110343
Name:ACHARYA, PARASMANI (MD)
Entity Type:Individual
Prefix:DR
First Name:PARASMANI
Middle Name:
Last Name:ACHARYA
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 1:4291 LEE HWY
Mailing Address - Street 2:
Mailing Address - City:PULASKI
Mailing Address - State:VA
Mailing Address - Zip Code:24301-7019
Mailing Address - Country:US
Mailing Address - Phone:540-980-1894
Mailing Address - Fax:540-980-1762
Practice Address - Street 1:4291 LEE HWY
Practice Address - Street 2:
Practice Address - City:PULASKI
Practice Address - State:VA
Practice Address - Zip Code:24301-7019
Practice Address - Country:US
Practice Address - Phone:540-980-1894
Practice Address - Fax:540-980-1762
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101045074207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA099076OtherANTHEM-BLUE CROSS
VA099076OtherANTHEM-BLUE CROSS
VA370000305Medicare ID - Type Unspecified