NPI Code Details Logo

NPI 1184560674

NPI 1184560674 : JULIAN NEOMAL JINADASA M.D. : WASHINGTON, PA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1184560674
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    JULIAN NEOMAL JINADASA M.D.
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    04/27/2026
-----------------------------------------------------
    Last Update Date     |    04/27/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    155 WILSON AVENUE 
-----------------------------------------------------
    City                 |    WASHINGTON
-----------------------------------------------------
    State                |    PA
-----------------------------------------------------
    Zip                  |    15301
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    724-225-7000
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    100 SOUTH CENTRAL AVENUE 
-----------------------------------------------------
    City                 |    CANONSBURG
-----------------------------------------------------
    State                |    PA
-----------------------------------------------------
    Zip                  |    15317
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    724-745-4100
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    390200000X
-----------------------------------------------------
    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.