RENUKA SHIV HARSH MD NPI 1417003385

NPI Information

  • NPI: 1417003385
  • Provider Name: RENUKA SHIV HARSH, MD
  • Classification: Pediatrics - 2080A0000X
  • Specialization: Adolescent Medicine
  • Entity Type: Individual
  • CLIA Number: 34D0237766
  • Address: 218 FOUST ST STE B
    ASHEBORO, NC
    ZIP 27203
  • Phone: (336) 626-2793

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NPI Details

Renuka Shiv Harsh, MD is an adolescent medicine pediatrics in Asheboro, NC. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. Renuka Shiv Harsh, MD NPI is 1417003385. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

218 FOUST ST STE B
ASHEBORO, NC
ZIP 27203-476
Phone: (336) 626-2793
Fax: (336) 626-4737

The CLIA number assigned to this NPI record is 34D0237766 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/25/2007 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12080A0000XPediatricsAdolescent Medicine30985NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
18940154MEDICAIDNORTH CAROLINA
240154OTHERNORTH CAROLINABLUE CROSS BLUE SHEILD NC
3F45748MEDICARE UPINNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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