Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SASIDHARAN TARAVATH, MD
ActiveNeurology with Special Qualifications in Child Neurology · JACKSONVILLE, NC
Registration Details
- NPI Number
- 1851353718
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 5, 2006 (20.044602937866 yrs)
- Last Updated
- Nov 6, 2023
- Licenses
-
999999 (NC)2014-00196 (NC)2014-00196 (NC)2014-00196 (NC)
Practice Information
- Address
-
156 MEMORIAL CTJACKSONVILLE, NC, 285466322Browse NC providers · Browse ZIP 28546
- Phone
- 9107858145
- Fax
- 9103533629
- Primary Specialty
-
Neurology with Special Qualifications in Child Neurology
2084N0402X
- Additional Specialty
- Neurology
- Additional Specialty
- Sleep Medicine (Psychiatry)
- Additional Specialty
- Neurology with Special Qualifications in Child Neurology
Other Neurology with Special Qualifications in Child Neurology Providers in JACKSONVILLE, NC
| Name | Credential | NPI |
|---|---|---|
| MICHAEL DAVID HOFMANN | M.D. | 1003841271 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.