Individual
DR. MUTHIAH KRISHNASAMY SABANAYAGAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
916 ELEVENTH ST, GOLDSBORO, NC 27534-1616
(919) 735-9119
(919) 735-9120
Mailing address
1000 CLARA CT, GOLDSBORO, NC 27530-8121
(919) 735-9119
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
31639
NC
2084P0800X
Psychiatry Physician
Primary
31639
NC
2084P0802X
Addiction Psychiatry Physician
31639
NC
2084P0804X
Child & Adolescent Psychiatry Physician
31639
NC
2084P0805X
Geriatric Psychiatry Physician
31639
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
372582
MANAGED HEALTH NETWORK
NC
05
—
8974152
—
NC
Enumeration date
05/17/2006
Last updated
02/15/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us