Organization
AVVERAHALLI HARISH MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AVVERAHALLI M HARISH MD (PRESIDENT)
(410) 655-0312
Entity
Organization
Contact information
Practice address
5310 OLD COURT ROAD SUITE 303, RANDALLSTOWN, MD 21133-6202
(410) 655-0312
(410) 655-0497
Mailing address
5310 OLD COURT ROAD SUITE 303, RANDALLSTOWN, MD 21133-6202
(410) 655-0312
(410) 655-0497
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D42723
MD
Other
Enumeration date
11/07/2007
Last updated
11/07/2007
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