THARA BASAVAIAH

MARIETTA, OH
NPI1740527357
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: MA  266249)
Additional Taxonomies207R00000X Internal Medicine
(Licence: OH  35.121464)
208M00000X Hospitalist
(Licence: OH  35.121464)
Enumeration Date2013-01-16
Last Update Date2021-10-28
Business Address
THARA BASAVAIAH M.D.
401 MATTHEW ST
MARIETTA, OH 45750-1635
Phone number: 740-374-7700
Mailing Address
THARA BASAVAIAH M.D.
9 INDUSTRIAL RD STE 5
MILFORD, MA 01757-3736
Phone number: 508-473-1480