Basavaiah, Thara
Basavaiah, Thara is an sole proprietor health care provider with primary practice located at 401 Matthew St , Marietta OH 45750-1635. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Basavaiah, Thara can be contacted via phone (740) 374-7700.Contact Information
Primary practice address
401 Matthew St
Marietta OH 45750-1635
Phone: (740) 374-7700
Fax: (740) 374-7701
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 35.121464 | Ohio |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 266249 | Massachusetts |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 35.121464 | Ohio |
Profile Details
| NPI number | 1740527357 |
|---|---|
| LBN Legal business name | Basavaiah, Thara |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 16th, 2013 |
| Last updated | Oct 28th, 2021 - about 4 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 | 1740527357 | NPPES |
| Ohio | Other | P10248544 | RAILROAD MEDICARE - MHCPI |
| Ohio | MEDICAID | 3810026377 | RAILROAD MEDICARE - MHCPI |
| Ohio | MEDICAID | 0086280 | RAILROAD MEDICARE - MHCPI |
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