Individual
HARITHA SHIVA O'HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
101 BODIN CIR, TRAVIS AFB, CA 94535-1809
(707) 423-5323
Mailing address
101 BODIN CIR, TRAVIS AFB, CA 94535-1809
(707) 423-5323
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101256646
VA
Other
Enumeration date
07/07/2011
Last updated
07/12/2023
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