Healthcare Provider Details

I. General information

NPI: 1841204187
Provider Name (Legal Business Name): HODA ESKANDER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 STEVENS MILL RD
GOLDSBORO NC
27530-1056
US

IV. Provider business mailing address

1719 MISTY MEADOW LN
GARNER NC
27529-5047
US

V. Phone/Fax

Practice location:
  • Phone: 919-731-3240
  • Fax:
Mailing address:
  • Phone: 919-779-5099
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number39797
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: