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:
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Health care specialties

SpecialtyCodeLicense #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 last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851353718 NPPES
West Virginia MEDICAID 0090530000

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