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NPI Code Detail

MEDICARE: DR. RUVAN CHANDIKA WICKRAMASINGHE M.D.

MEDICARE: DR. RUVAN CHANDIKA WICKRAMASINGHE 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
1207R00000XInternal Medicine PhysicianME82375FL
2208M00000XHospitalist PhysicianME82375FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1110228205OTHERFLRAILROAD MEDICARE NUMBER

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1871543959
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RUVAN CHANDIKA WICKRAMASINGHE M.D.
Provider Business Mailing Address
First Line : 3231 MCMULLEN BOOTH RD FL 1
Second Line :
City : SAFETY HARBOR
State : FL
Zip : 34695-6607
Country : US
Telephone Number : 727-725-6905
Fax Number : 727-266-4931
Provider Business Practice Location Address
First Line : 3231 MCMULLEN BOOTH RD FL 1
Second Line :
City : SAFETY HARBOR
State : FL
Zip : 34695-6607
Country : US
Telephone Number : 727-725-6905
Fax Number : 727-266-4931
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2006
Last Update Date : 10/03/2022

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