SASIDHARAN TARAVATH MD NPI 1851353718

NPI Information

NPI: 1851353718
Provider Name: SASIDHARAN TARAVATH, MD
Classification: Psychiatry & Neurology - 2084N0402X
Specialization: Neurology with Special Qualifications in Child Neurology
Entity Type: Individual
PECOS Registration: Yes
Address: 156 MEMORIAL CT
JACKSONVILLE, NC
ZIP 28546
Phone: (910) 785-8145

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NPI Details

Sasidharan Taravath, MD is a neurology with special qualifications in child neurology psychiatry neurology in Jacksonville, NC with 55 years of experience. The provider is a Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. Sasidharan Taravath, MD NPI is 1851353718. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

156 MEMORIAL CT
JACKSONVILLE, NC
ZIP 28546-322
Phone: (910) 785-8145
Fax: (910) 353-3629

The NPI 1851353718 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/5/2006 and was last updated on 11/6/2023.

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
1	2080P0008X	Pediatrics	Neurodevelopmental Disabilities	999999	NORTH CAROLINA	No
2	2084N0400X	Psychiatry & Neurology	Neurology	2014-00196	NORTH CAROLINA	No
3	2084S0012X	Psychiatry & Neurology	Sleep Medicine	2014-00196	NORTH CAROLINA	No
4	2084N0402X	Psychiatry & Neurology	Neurology with Special Qualifications in Child Neurology	2014-00196	NORTH CAROLINA	Yes

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
1	0090530000	MEDICAID	WEST VIRGINIA

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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