DR. THATSHANA THAYANANTHARAJAH MD
NPI 1063176527
Student in an Organized Health Care Education/Training Program in Greenville, NC

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since October 29, 2021

521 MOYE BLVD, GREENVILLE, NC 27834(252) 744-3992(252) 744-3924 Get Directions Write a Review

NPPES record last updated: October 29, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Dr. Thatshana Thayanantharajah Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. THATSHANA THAYANANTHARAJAH MD (NPI 1063176527) is an individual student in an organized health care education/training program in Greenville, North Carolina, licensed in North Carolina (RTL21-1115) and active in the NPI registry since October 2021.

NPPES Registry Identity

NPI1063176527

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameDR. THATSHANA THAYANANTHARAJAHCredential: MD

Location Address521 MOYE BLVDGreenville, NC 27834-2849

Mailing Address2100 Stantonsburg RdGreenville, NC 27834-2818 · (252) 744-3229 · Fax (252) 744-3924

Phone(252) 744-3992

Fax(252) 744-3924

Sole ProprietorNo

Enumeration DateOctober 29, 2021

NPPES CertifiedOctober 29, 2021

✔ NPI 1063176527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in NC · RTL21-1115

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

521 MOYE BLVD, Greenville, NC 27834

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