Basic Information
| Provider Information | |||||||||
| NPI: | 1407847809 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ACHARYA | ||||||||
| FirstName: | SHUBHA | ||||||||
| MiddleName: | R | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1803 MOUNT ROSE AVE | ||||||||
| Address2: | SUITE B3 | ||||||||
| City: | YORK | ||||||||
| State: | PA | ||||||||
| PostalCode: | 174033026 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7178511405 | ||||||||
| FaxNumber: | 7173346659 | ||||||||
| Practice Location | |||||||||
| Address1: | 40 V TWIN DR | ||||||||
| Address2: | SUITE 204 | ||||||||
| City: | GETTYSBURG | ||||||||
| State: | PA | ||||||||
| PostalCode: | 173257875 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7173392424 | ||||||||
| FaxNumber: | 7173346659 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/03/2005 | ||||||||
| LastUpdateDate: | 12/19/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | MD060746L | PA | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
ID Information
| ID | Type | State | Issuer | Description | 111826 | 01 | PA | UNISON-WMG | OTHER | 20013269 | 01 | PA | AMERIHEALTH MERCY WMG | OTHER | 278760 | 01 | PA | MAMSI WMG | OTHER | 5013555 | 01 | PA | AETNA | OTHER | 001654321 | 05 | PA | MEDICAID | 33785 | 01 | PA | GEISINGER | OTHER | 546489 | 01 | MD | CAREFIRST MD BCBS | OTHER | P002177 | 01 | PA | GATEWAY WMG | OTHER | 104598 | 01 | PA | JOHNS HOPKINS | OTHER | 110233942 | 01 | PA | RAILROAD MEDICARE | OTHER | 907308 | 01 | PA | HIGHMARK BLUE SHIELD | OTHER | 2194602 | 01 | PA | CAPITAL BLUE CROSS WMG | OTHER |