| Manoranjan Muthukanagaraj, MD | |
|
1308 Highland Dr, Washington, NC 27889-3485 | |
| (252) 946-3666 | |
| (252) 975-8840 |
| Full Name | Manoranjan Muthukanagaraj |
|---|---|
| Gender | Male |
| Speciality | Psychiatry |
| Experience | 13 Years |
| Location | 1308 Highland Dr, Washington, North Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750765244 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 2020-03495 (North Carolina) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 2020-03495 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Vidant Medical Center | Greenville, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Vidant Medical Group Llc | 0345343893 | 847 |
| Entity Name | Vidant Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477648731 PECOS PAC ID: 0345343893 Enrollment ID: O20070321000445 |
| Entity Name | Outer Banks Professional Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891050357 PECOS PAC ID: 3173652096 Enrollment ID: O20100602000156 |
| Mailing Address | Practice Location Address |
|---|---|
| Manoranjan Muthukanagaraj, MD 1308 Highland Dr, Washington, NC 27889-3485 Ph: (252) 946-3666 | Manoranjan Muthukanagaraj, MD 1308 Highland Dr, Washington, NC 27889-3485 Ph: (252) 946-3666 |
Dr. Paul Garcia, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 628 E 12th St, Washington, NC 27889 Phone: 252-975-4100 Fax: 252-948-4829 | |
Dr. Kalavathi Kolappa, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1308 Highland Dr, Washington, NC 27889 Phone: 252-946-3666 Fax: 252-946-8078 |