Avverahalli Harish MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

D42723 Issued in 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

Last updated

Nov 7, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Avverahalli M Harish, MDNPI 1295796316

Title

President

Phone

(410) 655-0312

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Avverahalli M Harish, M.D.

  • Internal Medicine Physician
  • Randallstown, MD
  • NPI 1295796316
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1194393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194393600000",
    "number": "1124208129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5310 OLD COURT ROAD SUITE 303",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211336202",
            "telephone_number": "410-655-0312",
            "fax_number": "410-655-0497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5310 OLD COURT ROAD SUITE 303",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211336202",
            "telephone_number": "410-655-0312",
            "fax_number": "410-655-0497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVVERAHALLI HARISH MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-07",
        "last_updated": "2007-11-07",
        "status": "A",
        "authorized_official_last_name": "HARISH",
        "authorized_official_first_name": "AVVERAHALLI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-655-0312",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D42723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ati Holdings, LLC (ATI Physical Therapy Randallstown)
• Elizabeth M Atkinson, PA-C
• Audience Wellness and Behavioral Healthcare LLC
• Felicia M. Austin, M.D.
• Avanta Support Services Inc
• Ngum Avwontom, FNP, CRNP
• Awaken Health Group Inc
• Martin Anu Awung
• Zahraa M Babiker Mohammed, PHARM D
• Kasheem J Bailey

• Internal Medicine Physician in Randallstown, MD
• Providers in Randallstown, MD by specialty
• Internal Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.