Active NPI
Jethalal S Harkhani, M.D.
- Specialist
- Salisbury, MD
National Provider Identifier
1750477667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- D0041864
- Practice address
- 1300 A South Division St
Salisbury, MD 21804 - Phone
- (410) 219-3488
- Fax
- (410) 219-5900
- NPI assigned
- Oct 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | D0041864 | MD | Primary |
Addresses
Primary practice location
1300 A South Division St
Salisbury, MD 21804
Mailing address
1300 A South Division St
Salisbury, MD 21804
Phone (410) 219-3488
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 765071000 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Friends Behavioral Health Associates Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Salisbury, MD
- NPI 1306532452
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313971200000",
"number": "1750477667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 A SOUTH DIVISION ST",
"city": "SALISBURY",
"state": "MD",
"postal_code": "21804",
"telephone_number": "410-219-3488",
"fax_number": "410-219-5900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 A SOUTH DIVISION ST",
"city": "SALISBURY",
"state": "MD",
"postal_code": "21804",
"telephone_number": "410-219-3488",
"fax_number": "410-219-5900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARKHANI",
"first_name": "JETHALAL",
"middle_name": "S",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-05",
"last_updated": "2011-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MD",
"license": "D0041864",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "765071000",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salisbury, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.