| East Carolina Psychiatric Consultants,pllc | |
|
916 Eleventh St Goldsboro NC 27534-1616 | |
| (919) 735-9119 | |
| (919) 735-9120 |
| Full Name | East Carolina Psychiatric Consultants,pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 916 Eleventh St, Goldsboro, North Carolina |
| Authorized Official Name and Position | Muthiah K. Sabanayagam (OWNER) |
| Authorized Official Contact | 9197359119 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| East Carolina Psychiatric Consultants,pllc 916 Eleventh St Goldsboro NC 27534-1616 Ph: (919) 735-9119 | East Carolina Psychiatric Consultants,pllc 916 Eleventh St Goldsboro NC 27534-1616 Ph: (919) 735-9119 |
| NPI Number | 1891997334 |
|---|---|
| Provider Enumeration Date | 06/05/2007 |
| Last Update Date | 07/02/2008 |
| Medicare PECOS PAC ID | 5799706081 |
|---|---|
| Medicare Enrollment ID | O20051214000694 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891997334 | NPI | - | NPPES |
| 61101 | Other | NE | HUMANA |
| 019JV | Other | NC | BCBS |
| 5909195 | Medicaid | NC |
| Provider Name | Muthaiya P Krishnaraj |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265443097 PECOS PAC ID: 6002804432 Enrollment ID: I20040504001488 |
| Provider Name | Muthiah K Sabanayagam |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356394050 PECOS PAC ID: 6608810809 Enrollment ID: I20050617001012 |
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