Amilineni, Thara Saraswathi
Amilineni, Thara Saraswathi is an individual health care provider with primary practice located at 205 South Front Street Brady 3, Harrisburg PA 17104. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Amilineni, Thara Saraswathi can be contacted via phone (717) 231-8775.Contact Information
Primary practice address
205 South Front Street Brady 3
Harrisburg PA 17104
Phone: (717) 231-8775
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | ME163575 | Florida |
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | MD478854 | Pennsylvania |
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | MT219183 | Pennsylvania |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | MT219183 | Pennsylvania |
Profile Details
NPI number | 1295396026 |
---|---|
LBN Legal business name | Amilineni, Thara Saraswathi |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 24th, 2019 |
Last updated | May 20th, 2024 - about 7 months 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 | 1295396026 | NPPES |
Pennsylvania | MEDICAID | 103698702 | |
Pennsylvania | Other | 2I7958 |
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