Provider Demographics
NPI:1780239954
Name:ACHARYA, RISHABH PRAVIN (BDS, MDS)
Entity type:Individual
Prefix:DR
First Name:RISHABH
Middle Name:PRAVIN
Last Name:ACHARYA
Suffix:
Gender:M
Credentials:BDS, MDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:707 PARNASSUS AVENUE, D-3246, BOX 0758
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94143
Mailing Address - Country:US
Mailing Address - Phone:415-514-0476
Mailing Address - Fax:
Practice Address - Street 1:707 PARNASSUS AVENUE, D-4000
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143
Practice Address - Country:US
Practice Address - Phone:415-502-8503
Practice Address - Fax:415-514-3180
Is Sole Proprietor?:No
Enumeration Date:2019-08-05
Last Update Date:2021-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1055881223P0700X
CASP2881223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics