Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 24462 | MS |
Y | 111NI0900X | Internist | 24462 | MS |
N | 207R00000X | Internist | ZSSS43 | MA |
N | 111NI0900X | Internist | ZSSS43 | MA |
N | 207RN0300X | Nephrologist | S1965 | TX |
NPI | 1053750018 |
---|---|
Provider Name | Prakrati Acharya |
First Address | El Paso, TX 79905-2707 |
Second Address | El Paso, TX 79905-2707 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2013 |
Last Update Date | 18/08/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
03321553 | (05) | MS |