Basic Information
| Provider Information | |||||||||
| NPI: | 1700801040 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ACHARYA | ||||||||
| FirstName: | RAVI | ||||||||
| MiddleName: | DILIPKUMAR | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1845 CENTER ST | ||||||||
| Address2: | |||||||||
| City: | CAMP HILL | ||||||||
| State: | PA | ||||||||
| PostalCode: | 170111703 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7177613505 | ||||||||
| FaxNumber: | 7177614293 | ||||||||
| Practice Location | |||||||||
| Address1: | 1845 CENTER ST | ||||||||
| Address2: | |||||||||
| City: | CAMP HILL | ||||||||
| State: | PA | ||||||||
| PostalCode: | 170111703 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7177613505 | ||||||||
| FaxNumber: | 7177614293 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/13/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RR0500X | MD429432 | PA | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Rheumatology |
No ID Information.