Healthcare Provider Details

I. General information

NPI: 1225397987
Provider Name (Legal Business Name): SARAMMA EAPPEN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/15/2012
Last Update Date: 08/10/2021
Certification Date: 08/10/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1236 HUFFMAN MILL RD STE 1500
BURLINGTON NC
27215-8700
US

IV. Provider business mailing address

1236 HUFFMAN MILL RD STE 1500
BURLINGTON NC
27215-8700
US

V. Phone/Fax

Practice location:
  • Phone: 336-586-3795
  • Fax: 336-586-3778
Mailing address:
  • Phone: 336-586-3795
  • Fax: 336-586-3778

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number2015-00886
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: