Provider Demographics
NPI:1598145104
Name:HARDING, VAISHNAVI (DO)
Entity Type:Individual
Prefix:
First Name:VAISHNAVI
Middle Name:
Last Name:HARDING
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:655 WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:WEST READING
Mailing Address - State:PA
Mailing Address - Zip Code:19611-1242
Mailing Address - Country:US
Mailing Address - Phone:484-345-3038
Mailing Address - Fax:610-372-0232
Practice Address - Street 1:655 WALNUT ST
Practice Address - Street 2:
Practice Address - City:WEST READING
Practice Address - State:PA
Practice Address - Zip Code:19611
Practice Address - Country:US
Practice Address - Phone:484-345-3038
Practice Address - Fax:610-372-0232
Is Sole Proprietor?:No
Enumeration Date:2015-06-09
Last Update Date:2018-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOT016708208000000X
PAOS019331208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA22-2540851Medicaid