MEDICARE: VIRAN JAY RANASINGHE 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
1	207Y00000X	Otolaryngology Physician	S7766	TX
2	207YX0007X	Plastic Surgery within the Head & Neck (Otolaryngology) Physician	S7766	TX

General Provider Information

NPI Number	:	1124431994
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VIRAN JAY RANASINGHE M.D.

Provider Business Mailing Address
First Line	:	PO BOX 650859
Second Line	:	DEPT 710
City	:	DALLAS
State	:	TX
Zip	:	75265-0859
Country	:	US
Telephone Number	:	409-722-2222
Fax Number	:

Provider Business Practice Location Address
First Line	:	2280 GULF FWY S, STE 2.1600
Second Line	:
City	:	LEAGUE CITY
State	:	TX
Zip	:	77573-5143
Country	:	US
Telephone Number	:	409-772-3466
Fax Number	:	409-772-3280

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

Provider Enumeration Date	:	06/09/2014
Last Update Date	:	08/25/2025

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