Provider Demographics
NPI:1396950598
Name:NARASIMHAMURTHY HARICHARAN, RAMANATHAPURA (MD)
Entity type:Individual
Prefix:
First Name:RAMANATHAPURA
Middle Name:
Last Name:NARASIMHAMURTHY HARICHARAN
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:PO BOX 1320
Mailing Address - Street 2:
Mailing Address - City:SAINT ALBANS
Mailing Address - State:WV
Mailing Address - Zip Code:25177-1320
Mailing Address - Country:US
Mailing Address - Phone:384-388-1734
Mailing Address - Fax:304-388-1721
Practice Address - Street 1:830 PENNSYLVANIA AVE
Practice Address - Street 2:SUITE 305
Practice Address - City:CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25302-3302
Practice Address - Country:US
Practice Address - Phone:304-388-1770
Practice Address - Fax:304-388-1775
Is Sole Proprietor?:No
Enumeration Date:2007-05-11
Last Update Date:2019-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV25609208600000X, 2086S0120X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0120XAllopathic & Osteopathic PhysiciansSurgeryPediatric Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery