SASIDHARAN TARAVATH

JACKSONVILLE, NC
NPI1851353718
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology
(Licence: NC  2014-00196)
Additional Taxonomies2080P0008X Pediatrics, Neurodevelopmental Disabilities
(Licence: NC  999999)
2084N0400X Psychiatry & Neurology, Neurology
(Licence: NC  2014-00196)
2084S0012X Psychiatry & Neurology, Sleep Medicine
(Licence: NC  2014-00196)
Enumeration Date2006-04-05
Last Update Date2023-11-06
Business Address
SASIDHARAN TARAVATH MD
156 MEMORIAL CT
JACKSONVILLE, NC 28546-6322
Phone number: 910-785-8145
Mailing Address
SASIDHARAN TARAVATH MD
PO BOX 986513 DEPT 100
BOSTON, MA 02298-6513
Phone number: 910-219-8326