Provider Demographics
NPI:1871907774
Name:ALSARRAF, ODAY (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:ODAY
Middle Name:
Last Name:ALSARRAF
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1911 HILLANDALE RD STE 1040
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27705-2666
Mailing Address - Country:US
Mailing Address - Phone:843-270-9732
Mailing Address - Fax:
Practice Address - Street 1:1911 HILLANDALE RD STE 1040
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27705-2666
Practice Address - Country:US
Practice Address - Phone:843-270-9732
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-18
Last Update Date:2025-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0361432152084P0800X, 2084P0804X, 2084P0800X
NC2024-007872084P0800X
283Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No283Q00000XHospitalsPsychiatric Hospital