Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 25609 | WV |
N | 208600000X | Surgeon | 25609 | WV |
Y | 2086S0120X | Pediatric Surgery | 25609 | WV |
NPI | 1396950598 |
---|---|
Provider Name | Ramanathapura Narasimhamurthy Haricharan |
First Address | Saint Albans, WV 25177-1320 |
Second Address | Charleston, WV 25302-3302 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/05/2007 |
Last Update Date | 24/10/2019 |