Active NPIIndividual providerSole proprietor

Thara Basavaiah, MD

Internal Medicine in Marietta, Ohio

NPI Number1740527357
Practice location
401 Matthew St, Marietta, OH 45750-1635
Fax
740-374-7701
Last updated
August 5, 2025

Thara Basavaiah is an Internal Medicine based in Marietta, OH. Thara Basavaiah practices in Marietta, OH and has the professional credentials of MD. The NPI Number for Thara Basavaiah is 1740527357 and holds a License No. 35.121464 (OH). The current practice location address for Thara Basavaiah is 401 Matthew St, Marietta, OH 45750-1635 and can be reached out via phone at 740-374-7700 and via fax at 740-374-7701.

Provider Profile Details

NPI Number
1740527357
Provider Name
Thara Basavaiah
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
401 Matthew St, Marietta, OH 45750-1635
Phone Number
740-374-7700
Fax Number
740-374-7701
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
Yes
Provider Enumeration Date
January 16, 2013
Last Update Date
August 5, 2025
Certification Date
August 5, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
401 Matthew St
Marietta, OH 45750-1635
State
Ohio
Zip
45750-1635
Phone Number
740-374-7700
Fax Number
740-374-7701
Marietta, OH 45750Get directions →

Provider Business Mailing Address Details

Address
9 Industrial RD
Ste 5
Milford, MA 01757-3736
City
Milford
State
MA
Zip
01757-3736
Phone Number
508-473-1480
Fax Number
508-473-1210

License Information

License Number (1)
35.121464
License State (1)
OH
Taxonomy (1)
Internal Medicine · 207R00000X
License Number (2)
35.121464
License State (2)
OH
Taxonomy (2)
Hospitalist · 208M00000X
License Number (3)
266249
License State (3)
MA
Taxonomy (3)
Internal Medicine · 207R00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Internal Medicine providers near Marietta, OH

View all Internal Medicine providers in Marietta →
No other indexed providers in Marietta yet.

Frequently Asked Questions

What is the NPI number of Thara Basavaiah, MD?

The NPI number of Thara Basavaiah, MD is 1740527357. It was assigned on January 16, 2013 and is currently active in the NPPES registry.

What is the specialty of Thara Basavaiah, MD?

Thara Basavaiah, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in OH under license number 35.121464.

Where does Thara Basavaiah, MD practice?

The practice location is 401 Matthew St, Marietta, OH 45750-1635. The office can be reached at 740-374-7700 (phone) or 740-374-7701 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1740527357 directly on the NPPES registry website.

Browse related providers