Healthcare Provider Details

I. General information

NPI: 1922074061
Provider Name (Legal Business Name): HARISH H K MURTHY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/28/2006
Last Update Date: 03/03/2025
Certification Date: 03/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2520 SAMARITAN DR STE 104B
SAN JOSE CA
95124-4106
US

IV. Provider business mailing address

2520 SAMARITAN DR STE 104B
SAN JOSE CA
95124-4106
US

V. Phone/Fax

Practice location:
  • Phone: 408-356-8400
  • Fax:
Mailing address:
  • Phone: 408-356-8400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA544310
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberA544310
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License NumberA544310
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code2084A2900X
TaxonomyNeurocritical Care Physician
License NumberA544310
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: