Provider Demographics
NPI:1932599164
Name:THARIAN, BENJAMIN (MD MRCP FRACP)
Entity Type:Individual
Prefix:DR
First Name:BENJAMIN
Middle Name:
Last Name:THARIAN
Suffix:
Gender:M
Credentials:MD MRCP FRACP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:625 6TH AVE S STE 430
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33701-4629
Mailing Address - Country:US
Mailing Address - Phone:727-553-7273
Mailing Address - Fax:727-553-7275
Practice Address - Street 1:625 6TH AVE S STE 430
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33701-4629
Practice Address - Country:US
Practice Address - Phone:727-553-7273
Practice Address - Fax:727-553-7275
Is Sole Proprietor?:No
Enumeration Date:2015-01-26
Last Update Date:2023-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLTRN19636207RG0100X
CODR.0071004207RG0100X
FLME151709207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology