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NPI Code Detail

MEDICARE: SARI GEORGE EAPEN M.D.

MEDICARE:   SARI GEORGE EAPEN  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1204C00000XSports Medicine (Neuromusculoskeletal Medicine) Physician26226NC

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00378382OTHERRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1881693778
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARI GEORGE EAPEN M.D.
Provider Business Mailing Address
First Line : 257HWY125
Second Line : ROANOKE VALLEY PAIN CENTER
City : ROANOKE RAPIDS
State : NC
Zip : 27870-2935
Country : US
Telephone Number : 252-410-0001
Fax Number : 252-410-0003
Provider Business Practice Location Address
First Line : 257 HWY 125
Second Line : ROANOKE VALLEY PAIN CENTER
City : ROANOKE RAPIDS
State : NC
Zip : 27870-2935
Country : US
Telephone Number : 252-410-0001
Fax Number : 252-410-0003
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2005
Last Update Date : 03/07/2008

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Directions to “ SARI GEORGE EAPEN M.D.” Practice Location

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