Individual provider · Type 1 NPI

Sasidharan Taravath, MD

Neurology with Special Qualifications in Child Neurology Physician · Jacksonville, NC

NPI number 1851353718 Active

Practice location

3391 Henderson Dr
Jacksonville, NC 28546-5231

Fax (910) 333-0034

Mailing address

PO Box 986513, Dept 100
Boston, MA 02298-6513

Specialties and licenses

TaxonomyCodeLicense
Neurology Physician 2084N0400X2014-00196 (NC)
Neurology with Special Qualifications in Child Neurology Physician Primary 2084N0402X2014-00196 (NC)
Sleep Medicine (Psychiatry & Neurology) Physician 2084S0012X2014-00196 (NC)
Pediatric Neurodevelopmental Disabilities Physician 2080P0008X999999 (NC)

Neurology with Special Qualifications in Child Neurology Physician: 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.

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About NPI 1851353718

Sasidharan Taravath, MD's National Provider Identifier is 1851353718, issued on Apr 5, 2006. The primary taxonomy on file is Neurology with Special Qualifications in Child Neurology Physician (2084N0402X), and the practice location is in Jacksonville, NC. The record was last updated on Mar 10, 2026.