Provider Demographics
NPI:1790869618
Name:THARWANI, HARESH MOHAN DAS (MD)
Entity Type:Individual
Prefix:
First Name:HARESH
Middle Name:MOHAN DAS
Last Name:THARWANI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:530 NEW WAVERLY PL STE 314
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27518-7414
Mailing Address - Country:US
Mailing Address - Phone:919-854-0021
Mailing Address - Fax:919-854-0027
Practice Address - Street 1:530 NEW WAVERLY PL STE 314
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27518-7414
Practice Address - Country:US
Practice Address - Phone:919-854-0021
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2024-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2000-009982084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC89078GEMedicare ID - Type Unspecified
H46161Medicare ID - Type Unspecified
NC2290531Medicare ID - Type Unspecified