1194893461 NPI number — DR. RADHIKA HARIHARAN M.D.

Table of content: DR. RADHIKA HARIHARAN M.D. (NPI 1194893461)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1194893461 NPI number — DR. RADHIKA HARIHARAN M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HARIHARAN
Provider First Name:
RADHIKA
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1194893461
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/18/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
970 N BROADWAY
Provider Second Line Business Mailing Address:
SUITE 212
Provider Business Mailing Address City Name:
YONKERS
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10701-1309
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
914-376-1543
Provider Business Mailing Address Fax Number:
914-376-2761

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
970 N BROADWAY
Provider Second Line Business Practice Location Address:
SUITE 212
Provider Business Practice Location Address City Name:
YONKERS
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10701-1309
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
914-376-1543
Provider Business Practice Location Address Fax Number:
914-376-2761
Provider Enumeration Date:
12/02/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  206024 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207RI0200X , with the licence number: 206024 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0000924 . This is a "GHI" identifier . This identifiers is of the category "OTHER".
  • Identifier: 02168770 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 3401982 . This is a "UNITED HEALTHCARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 44003596 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 2454716 . This is a "US HEALTHCARE" identifier . This identifiers is of the category "OTHER".




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