Sirisena, Omatta M

Sirisena, Omatta M is an individual health care provider with primary practice located at 117 Foy Dr , Rocky Mount NC 27804-2418. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Sirisena, Omatta M can be contacted via phone (252) 443-7678.

Contact Information

Primary practice address
117 Foy Dr Rocky Mount NC 27804-2418
Phone: (252) 443-7678
Fax: (252) 443-7147
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 19771 North Carolina

Profile Details

NPI number 1821042557
LBN Legal business name Sirisena, Omatta M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Jun 30th, 2014 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821042557 NPPES
North Carolina Other 0149C BLUE CROSS BLUE SHEILD
North Carolina Other CL1963 BLUE CROSS BLUE SHEILD
North Carolina MEDICAID 890149C BLUE CROSS BLUE SHEILD

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