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NPI Code Detail

MEDICARE: CHANDRIKA SENEVIRATNE M.D.

MEDICARE: CHANDRIKA SENEVIRATNE 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
1207ZP0102XAnatomic Pathology & Clinical Pathology PhysicianA69126CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1083608731
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHANDRIKA SENEVIRATNE M.D.
Provider Business Mailing Address
First Line : PO BOX 2311
Second Line :
City : CHATSWORTH
State : CA
Zip : 91313-2311
Country : US
Telephone Number : 818-718-9500
Fax Number : 818-718-9507
Provider Business Practice Location Address
First Line : 1720 E C CHAVEZ AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90033-2414
Country : US
Telephone Number : 323-268-5000
Fax Number : 323-265-5086
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/08/2005
Last Update Date : 07/08/2007

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