Healthcare Provider Details

I. General information

NPI: 1205417672
Provider Name (Legal Business Name): DANIEL CHINTHAKA AMARASINGHE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/17/2021
Last Update Date: 04/19/2026
Certification Date: 04/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 S CANTON CENTER RD STE 210
CANTON MI
48188-6276
US

IV. Provider business mailing address

24 FRANK LLOYD WRIGHT DR STE J2000
ANN ARBOR MI
48105-9484
US

V. Phone/Fax

Practice location:
  • Phone: 734-786-2300
  • Fax: 734-786-4915
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number4301512631
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: