Individual
AVVERAHALLI M HARISH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5310 OLD COURT RD, SUITE 303, RANDALLSTOWN, MD 21133-5243
(410) 655-0312
(410) 655-0497
Mailing address
5401 OLD COURT RD, ATTN: CREDENTIALING, RANDALLSTOWN, MD 21133-5103
(410) 601-5524
(410) 601-8946
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D42723
MD
Other
Enumeration date
03/29/2006
Last updated
07/08/2007
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