Masilamani, Sanjay Stanley

Masilamani, Sanjay Stanley is an individual health care provider with primary practice located at 97 Great Teays Blvd Ste 6 , Scott Depot WV 25560-9816. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Masilamani, Sanjay Stanley can be contacted via phone (304) 757-6999.

Contact Information

Primary practice address
97 Great Teays Blvd Ste 6 Scott Depot WV 25560-9816
Phone: (304) 757-6999
Fax: (304) 201-5019
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 390200000X West Virginia
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 078825 Georgia

Profile Details

NPI number 1578721221
LBN Legal business name Masilamani, Sanjay Stanley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 29th, 2008
Last updated Jan 6th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1578721221 NPPES
West Virginia MEDICAID 3810021770
West Virginia MEDICAID 0083183
West Virginia MEDICAID 7100223220

Popular Providers