Individual
DR. MUTHAIYA PILLAI KRISHNARAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
201 STEVENS MILL RD, GOLDSBORO, NC 27530-1056
(919) 731-3470
Mailing address
2611 PINENEEDLES RD, GOLDSBORO, NC 27534-4242
(919) 736-3603
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
23725
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
208001E
MEDICARE PROVIDER NUMBER
NC
05
—
8950345
—
NC
Enumeration date
08/10/2006
Last updated
07/02/2008
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