Provider Demographics
NPI:1194969303
Name:ACHARYA, KRISHNA KARTIKEY (MBBS, MPH)
Entity type:Individual
Prefix:
First Name:KRISHNA
Middle Name:KARTIKEY
Last Name:ACHARYA
Suffix:
Gender:F
Credentials:MBBS, MPH
Other - Prefix:
Other - First Name:KRISHNA
Other - Middle Name:MANOJBHAI
Other - Last Name:DESAI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MBBS, MPH
Mailing Address - Street 1:9000 W WISCONSIN AVE
Mailing Address - Street 2:DIVISION OF NEONATOLOGY
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53226-4874
Mailing Address - Country:US
Mailing Address - Phone:414-266-6820
Mailing Address - Fax:414-266-6979
Practice Address - Street 1:9200 W WISCONSIN AVE
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53226-3522
Practice Address - Country:US
Practice Address - Phone:414-805-5800
Practice Address - Fax:414-805-8097
Is Sole Proprietor?:No
Enumeration Date:2009-05-01
Last Update Date:2024-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI60960208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics