Provider Demographics
NPI:1144574682
Name:HARSHAVARDHANA, NANJUNDAPPA SOMASEKHAR (MD)
Entity Type:Individual
Prefix:
First Name:NANJUNDAPPA
Middle Name:SOMASEKHAR
Last Name:HARSHAVARDHANA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4701 PINE ST
Mailing Address - Street 2:APT M9, GARDEN COURT PLAZA
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19143-1816
Mailing Address - Country:US
Mailing Address - Phone:215-436-7730
Mailing Address - Fax:
Practice Address - Street 1:34TH STREET AND CIVIC CENTER BOULVEVARD
Practice Address - Street 2:2ND FLOOR, WOOD BUILDING - DIVISION OF ORTHOPEDICS
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104
Practice Address - Country:US
Practice Address - Phone:215-590-1534
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-06
Last Update Date:2012-11-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMT202987207XP3100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XP3100XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryPediatric Orthopaedic Surgery