Avverahalli Harish MD PA
Organization Active NPI Internal Medicine Physician · Randallstown, MD
NPI 1124208129 · NPPES record last updated Nov 7, 2007
Key facts
- NPI
- 1124208129
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- D42723 (MD)
- Legal business name
- AVVERAHALLI HARISH MD PA
- Practice address
- 5310 Old Court Road Suite 303
Randallstown, MD 21133-6202 - Phone
- (410) 655-0312
- Fax
- (410) 655-0497
- NPI assigned
- Nov 7, 2007
- Organization subpart
- No
Authorized official
- Name
- Avverahalli M Harish, MD
- Title
- President
- Phone
- (410) 655-0312
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | D42723 | MD | Yes |
Addresses
Primary practice location
5310 Old Court Road Suite 303
Randallstown, MD 21133-6202
Mailing address
5310 Old Court Road Suite 303
Randallstown, MD 21133-6202
Phone (410) 655-0312
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- Martin Anu Awung
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All providers in Randallstown, MD · Internal Medicine Physician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 7, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.