Provider Demographics
NPI:1407847809
Name:ACHARYA, SHUBHA R (MD)
Entity type:Individual
Prefix:DR
First Name:SHUBHA
Middle Name:R
Last Name:ACHARYA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1803 MOUNT ROSE AVE
Mailing Address - Street 2:SUITE B3
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17403-3026
Mailing Address - Country:US
Mailing Address - Phone:717-851-1405
Mailing Address - Fax:717-334-6659
Practice Address - Street 1:40 V TWIN DR
Practice Address - Street 2:SUITE 204
Practice Address - City:GETTYSBURG
Practice Address - State:PA
Practice Address - Zip Code:17325-7875
Practice Address - Country:US
Practice Address - Phone:717-339-2424
Practice Address - Fax:717-334-6659
Is Sole Proprietor?:No
Enumeration Date:2005-11-03
Last Update Date:2016-12-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD060746L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA111826OtherUNISON-WMG
PA20013269OtherAMERIHEALTH MERCY WMG
PA278760OtherMAMSI WMG
PA5013555OtherAETNA
PA001654321Medicaid
PA33785OtherGEISINGER
MD546489OtherCAREFIRST MD BCBS
PAP002177OtherGATEWAY WMG
PA104598OtherJOHNS HOPKINS
PA110233942OtherRAILROAD MEDICARE
PA907308OtherHIGHMARK BLUE SHIELD
PA2194602OtherCAPITAL BLUE CROSS WMG
MD546489OtherCAREFIRST MD BCBS
PA2194602OtherCAPITAL BLUE CROSS WMG
PA33785OtherGEISINGER