Taravath, Sasidharan
Taravath, Sasidharan is an individual health care provider with primary practice located at 156 Memorial Ct , Jacksonville NC 28546-6322. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities, Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology. Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology is his primary health care specialty. Taravath, Sasidharan can be contacted via phone (910) 785-8145.Contact Information
Primary practice address
156 Memorial Ct
Jacksonville NC 28546-6322
Phone: (910) 785-8145
Fax: (910) 353-3629
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities | 2080P0008X | 999999 | North Carolina |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 2014-00196 | North Carolina |
| Allopathic & Osteopathic Physicians / Sleep Medicine | 2084S0012X | 2014-00196 | North Carolina |
| Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology | 2084N0402X | 2014-00196 | North Carolina |
Profile Details
| NPI number | 1851353718 |
|---|---|
| LBN Legal business name | Taravath, Sasidharan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 5th, 2006 |
| Last updated | Nov 6th, 2023 - about 3 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 | 1851353718 | NPPES |
| West Virginia | MEDICAID | 0090530000 |
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