Provider Demographics
NPI:1720084460
Name:HARIHARAN, PARAMESWARAN (MD)
Entity Type:Individual
Prefix:DR
First Name:PARAMESWARAN
Middle Name:
Last Name:HARIHARAN
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 1:2055 HOSPITAL DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:BATAVIA
Mailing Address - State:OH
Mailing Address - Zip Code:45103-1978
Mailing Address - Country:US
Mailing Address - Phone:513-732-0663
Mailing Address - Fax:513-732-1232
Practice Address - Street 1:2055 HOSPITAL DR
Practice Address - Street 2:SUITE 300
Practice Address - City:BATAVIA
Practice Address - State:OH
Practice Address - Zip Code:45103-1923
Practice Address - Country:US
Practice Address - Phone:513-732-0663
Practice Address - Fax:513-732-1232
Is Sole Proprietor?:No
Enumeration Date:2005-06-27
Last Update Date:2012-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH68751207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0260177Medicaid
OHG50940Medicare UPIN
OH0260177Medicaid