Sasidharan Taravath in Jacksonville - Neurodevelopmental Disabilities
Sasidharan Taravath - NPI 1851353718
Sasidharan Taravath is a Neurodevelopmental Disabilities in Jacksonville, North Carolina. Sasidharan Taravath practices all healthcare services and medical treatments related to Neurodevelopmental Disabilities. The NPI Number for Sasidharan Taravath is 1851353718. The last update date is 2023-11-06.
Sasidharan Taravath's current location address is 156 Memorial Ct, Jacksonville, North Carolina. You can contact this provider via phone number 9107858145 and fax number 9103533629. The mailing address for Sasidharan Taravath is 156 Memorial Ct, Jacksonville, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sasidharan Taravath |
|---|---|
| Address | 156 Memorial Ct, Jacksonville, North Carolina |
| Phone Number | 9107858145 |
| Fax Number | 9103533629 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1851353718 |
|---|---|
| Provider Enumeration Date | 2006-04-05 |
| Last Updated Date | 2023-11-06 |
Provider Mailing Address Detail
| Address | 156 Memorial Ct |
|---|---|
| City | Jacksonville |
| State | North Carolina (NC) |
| Post Code | 285466322 |
| Phone Number | 9107858145 |
| Fax Number | 9103533629 |
Provider's Primary Taxonomy Detail
| Speciality | Neurodevelopmental Disabilities |
|---|---|
| Taxonomy | 2080P0008X |
| Licence No | 999999 |
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Definition: A pediatrician who specializes in the treatment of individuals with developmental delays and learning disorders associated with cerebral palsy, spina bifida, autism, and other chronic neurologic conditions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 90530000 | WV | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Sasidharan Taravath?
The Sasidharan Taravath has been issued the NPI (National Provider Identifier) 1851353718 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Sasidharan Taravath's facilities are geographically located?
The facilities of Sasidharan Taravath are physically situated at the following location: 156 Memorial Ct, Jacksonville, NC, 285466322.
What is Sasidharan Taravath's specialized field of practice, and what is the corresponding taxonomy classification code?
The Sasidharan Taravath's area of specialization is Neurodevelopmental Disabilities, and the corresponding taxonomy code that categorizes this field of practice is 2080P0008X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1851353718 to Sasidharan Taravath?
The Centers for Medicare & Medicaid Services originally issued the 1851353718 to Sasidharan Taravath on 2006-04-05.
As of what date were the details pertaining to Sasidharan Taravath last refreshed?
The information related to the Sasidharan Taravath, including its address, specialty, and other relevant details, was last updated on 2023-11-06.