Marisiddaiah, Harish
Marisiddaiah, Harish is an individual health care provider with primary practice located at 2711 X Ray Dr , Gastonia NC 28054-7491. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Marisiddaiah, Harish can be contacted via phone (704) 834-2465.Contact Information
Primary practice address
2711 X Ray Dr
Gastonia NC 28054-7491
Phone: (704) 834-2465
Fax: (704) 834-2466
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | MD61064980 | Washington |
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 9500993 | North Carolina |
Profile Details
| NPI number | 1073500765 |
|---|---|
| LBN Legal business name | Marisiddaiah, Harish |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 29th, 2005 |
| Last updated | Sep 3rd, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073500765 | NPPES |
| North Carolina | MEDICAID | 8954784 | |
| North Carolina | MEDICAID | N00993 |
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