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Individual
THARA BASAVAIAH
Active
Individual
THARA BASAVAIAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
266249
MA
207R00000X
Internal Medicine Physician
35.121464
OH
208M00000X
Hospitalist Physician
35.121464
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0086280
—
OH
05
—
3810026377
—
WV
01
—
P10248544
RAILROAD MEDICARE - MHCPI
OH
Enumeration date
01/16/2013
Last updated
08/05/2025
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