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Individual

SANJAY STANLEY MASILAMANI

Active
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Individual

SANJAY STANLEY MASILAMANI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
078825
GA
2084P0800X
Psychiatry Physician
390200000X
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0083183
OH
05
3810021770
WV
05
7100223220
KY
Enumeration date
05/29/2008
Last updated
01/06/2022
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