Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | A84840 | CA |
N | 111NI0900X | Internist | A84840 | CA |
N | 207R00000X | Internist | MD25179 | OR |
N | 111NI0900X | Internist | MD25179 | OR |
Y | 207RC0200X | Critical Care Medicine | 01068976 | IN |
N | 207RC0200X | Critical Care Medicine | A84840 | CA |
N | 207RC0200X | Critical Care Medicine | MD25179 | OR |
N | 207RP1001X | Pulmonary Disease | A84840 | CA |
N | 207RP1001X | Pulmonary Disease | MD25179 | OR |
NPI | 1053366344 |
---|---|
Provider Name | Sai P Haranath |
First Address | Walnut Creek, CA 94596 |
Second Address | Walnut Creek, CA 94596-5318 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2006 |
Last Update Date | 19/10/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
233187 | (05) | OR |
H20660 | (02) | OR |