Provider Demographics
NPI:1265775522
Name:ACHILLE, CHRISTAL LYNN (MD)
Entity type:Individual
Prefix:DR
First Name:CHRISTAL
Middle Name:LYNN
Last Name:ACHILLE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 IRVING ST NW STE 2300
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20010-2959
Mailing Address - Country:US
Mailing Address - Phone:202-291-6257
Mailing Address - Fax:202-726-4926
Practice Address - Street 1:106 IRVING ST NW STE 2300
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010-2959
Practice Address - Country:US
Practice Address - Phone:202-291-6257
Practice Address - Fax:202-726-4926
Is Sole Proprietor?:No
Enumeration Date:2013-04-04
Last Update Date:2023-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY300841208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics