Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sanjay Stanley Masilamani, MD

Individual provider Psychiatry Physician · NPI 1578721221

Sanjay Stanley Masilamani, MD is a Psychiatry in Scott Depot, West Virginia. Graduated from Jc Edwards School of Medicine, Marshall University in 2007, 19 years ago. Practices with The Southeast Permanente Medical Group, a 826-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia and West Virginia.

Years since qualifying
19
Trained at
Jc Edwards School of Medicine, Marshall University
Licensed in
GA, WV
In the registry since
2008
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

97 Great Teays Blvd Ste 6
Scott Depot, WV 25560-9816
Phone: (304) 757-6999
Fax: (304) 201-5019
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 116 Hills Plz, Charleston, WV 25387-2438 — (304) 720-4466

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 078825 (GA)
Psychiatry Physician Taxonomy 2084P0800X · Licence 390200000X (WV)

Record details

NPI number1578721221
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 29, 2008
Last updated in NPPESJanuary 6, 2022
Mailing address3495 Piedmont Rd Ne Bldg 91, Attn Tobie Shelley, Atlanta, GA 30305-1717

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolJC EDWARDS SCHOOL OF MEDICINE, MARSHALL UNIVERSITY
Graduated 2007 (19 years in practice)
Group practice The Southeast Permanente Medical Group — 826 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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