Active NPI
Kanawha Valley Neurology
- Specialist
- Beckley, WV
National Provider Identifier
1407136385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- E49818
- Legal business name
- KANAWHA VALLEY NEUROLOGY
- Doing business as
- BECKLEY SLEEP CENTER
- Practice address
- 70 Brookshire LN
Beckley, WV 25801-6765 - Phone
- (304) 766-7695
- Fax
- (304) 766-7698
- NPI assigned
- Aug 23, 2011
- Organization subpart
- Yes
- Parent organization
- KANAWHA VALLEY NEUROLOGY
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sasidharan Taravath, MD
- Title
- Doctor
- Phone
- (304) 766-7695
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | E49818 | WV | Primary |
Addresses
Primary practice location
70 Brookshire LN
Beckley, WV 25801-6765
Mailing address
70 Brookshire LN
Beckley, WV 25801-6765
Phone (304) 766-7695
Other names 1
- BECKLEY SLEEP CENTER
National Provider Directory
National Provider Directory- Part of
- Kanawha Valley Neurology
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Medical Specialty Clinic/Center
- Hurricane, WV
- NPI 1326166463
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314057600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1314057600000",
"number": "1407136385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70 BROOKSHIRE LN",
"city": "BECKLEY",
"state": "WV",
"postal_code": "258016765",
"telephone_number": "304-766-7695",
"fax_number": "304-766-7698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 BROOKSHIRE LN",
"city": "BECKLEY",
"state": "WV",
"postal_code": "258016765",
"telephone_number": "304-766-7695",
"fax_number": "304-766-7698"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KANAWHA VALLEY NEUROLOGY",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "KANAWHA VALLEY NEUROLOGY",
"enumeration_date": "2011-08-23",
"last_updated": "2011-08-23",
"status": "A",
"authorized_official_last_name": "TARAVATH",
"authorized_official_first_name": "SASIDHARAN",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "304-766-7695",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "WV",
"license": "E49818",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "BECKLEY SLEEP CENTER",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Beckley, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.