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NPI Code Detail

MEDICARE: ASHANTHI GAJAWEERA MD

MEDICARE:   ASHANTHI  GAJAWEERA  MD
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
12084N0400XNeurology Physician229095NY

General Provider Information

NPI Number : 1356342497
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHANTHI GAJAWEERA MD
Provider Business Mailing Address
First Line : 2290 EAST AVENUE, 4TH FLOOR
Second Line :
City : ROCHESTER
State : NY
Zip : 14610
Country : US
Telephone Number : 585-201-8478
Fax Number : 800-396-8709
Provider Business Practice Location Address
First Line : 2290 EAST AVENUE, 4TH FLOOR
Second Line :
City : ROCHESTER
State : NY
Zip : 14610
Country : US
Telephone Number : 585-201-8478
Fax Number : 800-396-8709
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2005
Last Update Date : 07/22/2025

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Directions to “ ASHANTHI GAJAWEERA MD” Practice Location

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