Healthcare Provider Details

I. General information

NPI: 1871907774
Provider Name (Legal Business Name): ODAY ALSARRAF M.D., PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/18/2014
Last Update Date: 08/25/2025
Certification Date: 08/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1911 HILLANDALE RD STE 1040
DURHAM NC
27705-2666
US

IV. Provider business mailing address

1911 HILLANDALE RD STE 1040
DURHAM NC
27705-2666
US

V. Phone/Fax

Practice location:
  • Phone: 843-270-9732
  • Fax:
Mailing address:
  • Phone: 843-270-9732
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number036143215
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number2024-00787
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number036143215
License Number StateIL

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: