Provider Demographics
NPI:1922986728
Name:SUDHAKAR, AKSHAYA (RPH)
Entity type:Individual
Prefix:
First Name:AKSHAYA
Middle Name:
Last Name:SUDHAKAR
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4930 CENTRE AVE APT 5
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213-1819
Mailing Address - Country:US
Mailing Address - Phone:724-935-5125
Mailing Address - Fax:
Practice Address - Street 1:225 GRANT AVE
Practice Address - Street 2:
Practice Address - City:MILLVALE
Practice Address - State:PA
Practice Address - Zip Code:15209-2634
Practice Address - Country:US
Practice Address - Phone:412-821-1524
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-21
Last Update Date:2025-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP459360183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist