Healthcare Provider Details

I. General information

NPI: 1386107720
Provider Name (Legal Business Name): HARISH ESWARAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/11/2019
Last Update Date: 07/01/2025
Certification Date: 07/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7000 FANNIN ST STE 750
HOUSTON TX
77030-5400
US

IV. Provider business mailing address

102 MASON FARM RD
CHAPEL HILL NC
27599-6134
US

V. Phone/Fax

Practice location:
  • Phone: 713-500-8360
  • Fax:
Mailing address:
  • Phone: 984-974-4462
  • Fax: 919-843-9355

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RH0000X
TaxonomyHematology (Internal Medicine) Physician
License Number2023-01668
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code207RH0000X
TaxonomyHematology (Internal Medicine) Physician
License NumberV7872
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: