Sasidharan Taravath, MD
Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology in Jacksonville, North Carolina
1851353718- Practice location
- 3391 Henderson Dr, Jacksonville, NC 28546-5231
- Phone
- 910-333-0026
- Fax
- 910-333-0034
- Last updated
- March 10, 2026
Sasidharan Taravath is a Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology based in Jacksonville, NC. Sasidharan Taravath practices in Jacksonville, NC and has the professional credentials of MD. The NPI Number for Sasidharan Taravath is 1851353718 and holds a License No. 2014-00196 (NC). The current practice location address for Sasidharan Taravath is 3391 Henderson Dr, Jacksonville, NC 28546-5231 and can be reached out via phone at 910-333-0026 and via fax at 910-333-0034.
Provider Profile Details
- NPI Number
- 1851353718
- Provider Name
- Sasidharan Taravath
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 3391 Henderson Dr, Jacksonville, NC 28546-5231
- Phone Number
- 910-333-0026
- Fax Number
- 910-333-0034
- Primary Taxonomy
- Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology · 2084N0402X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 5, 2006
- Last Update Date
- March 10, 2026
- Certification Date
- March 10, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 3391 Henderson Dr
Jacksonville, NC 28546-5231 - City
- Jacksonville
- State
- North Carolina
- Zip
- 28546-5231
- Phone Number
- 910-333-0026
- Fax Number
- 910-333-0034
Provider Business Mailing Address Details
- Address
- Po Box 986513
Dept 100
Boston, MA 02298-6513 - City
- Boston
- State
- MA
- Zip
- 02298-6513
- Phone Number
- 910-333-0026
- Fax Number
- 910-333-0034
License Information
- License Number (1)
- 2014-00196
- License State (1)
- NC
- Taxonomy (1)
- Psychiatry & Neurology, Neurology · 2084N0400X
- License Number (2)
- 2014-00196
- License State (2)
- NC
- Taxonomy (2)
- Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology · 2084N0402X · Primary
- License Number (3)
- 2014-00196
- License State (3)
- NC
- Taxonomy (3)
- Psychiatry & Neurology, Sleep Medicine · 2084S0012X
- License Number (4)
- 999999
- License State (4)
- NC
- Taxonomy (4)
- Pediatrics, Neurodevelopmental Disabilities · 2080P0008X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology providers near Jacksonville, NC
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Frequently Asked Questions
What is the NPI number of Sasidharan Taravath, MD?
The NPI number of Sasidharan Taravath, MD is 1851353718. It was assigned on April 5, 2006 and is currently active in the NPPES registry.
What is the specialty of Sasidharan Taravath, MD?
Sasidharan Taravath, MD is registered under the primary taxonomy Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (code 2084N0402X), licensed in NC under license number 2014-00196.
Where does Sasidharan Taravath, MD practice?
The practice location is 3391 Henderson Dr, Jacksonville, NC 28546-5231. The office can be reached at 910-333-0026 (phone) or 910-333-0034 (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 1851353718 directly on the NPPES registry website.