MEDICARE: RUCHIKA N RANASINGHE 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
1	174400000X	Specialist	10675	NV
2	208000000X	Pediatrics Physician	10675	NV

Other Identifiers

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

General Provider Information

NPI Number	:	1104875715
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RUCHIKA N RANASINGHE MD

Provider Business Mailing Address
First Line	:	2025 CIVIC CENTER DR
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89030-6311
Country	:	US
Telephone Number	:	702-633-7970
Fax Number	:	702-633-5649

Provider Business Practice Location Address
First Line	:	3570 E FLAMINGO RD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89121-5000
Country	:	US
Telephone Number	:	702-633-7970
Fax Number	:	702-633-5649

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/09/2006
Last Update Date	:	01/10/2020

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Directions to “ RUCHIKA N RANASINGHE MD” Practice Location

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