Sasidharan Taravath
MD | Pediatric Neurodevelopmental Disabilities | Male
Sasidharan Taravath, MD is a Charlotte, North Carolina based Pediatric doctor with medical specialization in
Pediatric Neurodevelopmental Disabilities.
Current practice location of Sasidharan Taravath is
1900 Randolph Rd Ste 1010, Charlotte, North Carolina - 28207-1117. He can be contacted on phone at
704-384-1390 and fax number 704-384-1063.
Sasidharan Taravath is a sole proprietor of his business.
NPI number (Unique professional ID) for Sasidharan Taravath is
1851353718 which was assigned by NPPES on 05 Apr, 2006 and it was last updated on 17 Jun, 2021.
Sasidharan Taravath license number is
999999 for Pediatrics Neurodevelopmental Disabilities (2080P0008X) in North Carolina.
Sasidharan Taravath treats children having developmental delays or learning disorders including those associated with visual and hearing impairment, mental retardation, cerebral palsy, spina bifida, autism and other chronic neurologic conditions. This specialist provides medical consultation and education and assumes leadership in the interdisciplinary management of children with neurodevelopmental disorders. They may also focus on the early identification and diagnosis of neurodevelopmental disabilities in infants and young children as well as on changes that occur as the child with developmental disabilities grows.
Complete Profile:
Sasidharan Taravath basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Neurodevelopmental Disabilities |
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| Provider Name : | Sasidharan Taravath |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Sasidharan Taravath address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1900 Randolph Rd Ste 1010
Charlotte, NC, 28207-1117
United States |
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| Phone Number : | 704-384-1390 |
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| Fax Number : | 704-384-1063 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1851353718 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 05 Apr, 2006 |
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| Last Updated On : | 17 Jun, 2021 |
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Medicare Participation:
Sasidharan Taravath participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 6103918966 |
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| Medicare Enrollment ID : | I20161031001256 |
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| Primary Specialty : | Pediatric Medicine |
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| Medical School : | Other |
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| Graduation Year : | 1971 |
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| Accepts Medicare? | Yes. Sasidharan Taravath accepts medicare insurance. |
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Group Practice Association:
Sasidharan Taravath is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Sasidharan Taravath is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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| Novant Medical Group Inc | 1153234893 | 1965 | 1900 Randolph Rd
Suite 1010
Charlotte, NC - 282071117
Ph: 7043841390 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Sasidharan Taravath are as mentioned. Primary taxonomy code for Sasidharan Taravath, MD is
2080P0008X (Pediatrics Neurodevelopmental Disabilities).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080P0008X | Pediatrics Neurodevelopmental Disabilities | Yes | 999999 | NC |
Legacy Identifiers:
Other legacy medical identifiers of Sasidharan Taravath such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 0090530000 | MEDICAID | WV | |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
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2131 S 17TH ST,
WILMINGTON, NC, 28401-7407
United States | WILMINGTON, NC | #9107729202402 |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
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DIRECT
(Direct Messaging Address) | staravath883115@direct.novanthealth.org
| No affiliation |
|
| 1900 RANDOLPH RD STE 1010,
CHARLOTTE, NC, 28207-1117
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 60447
Charlotte, NC, 28260-0447
United States |
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Business Location:
Patients can refer following map for directions to
Sasidharan Taravath practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.