MEDICARE: MEDICAL CARE PLUS, P.C.

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
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1053409045
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDICAL CARE PLUS, P.C.

Provider Business Mailing Address
First Line	:	6204 N MILITARY HWY
Second Line	:
City	:	NORFOLK
State	:	VA
Zip	:	23518-5447
Country	:	US
Telephone Number	:	757-855-1900
Fax Number	:	757-855-2272

Provider Business Practice Location Address
First Line	:	6204 N MILITARY HWY
Second Line	:
City	:	NORFOLK
State	:	VA
Zip	:	23518-5447
Country	:	US
Telephone Number	:	757-855-1900
Fax Number	:	757-855-2272

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. DISAMODHA C. AMARASINGHE
Credential	:	M.D.
Telephone Number	:	757-855-1900

Provider Enumeration Date	:	10/11/2006
Last Update Date	:	08/22/2020

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