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NPI Code Detail

MEDICARE: BUDDIMA RANASINGHE

MEDICARE: BUDDIMA RANASINGHE
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
1208800000XUrology PhysicianT5010TX
2208800000XUrology Physician78981AZ
3390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1417390162
Entity Type Code : Individual
Provider Name (Legal Business Name) : BUDDIMA RANASINGHE
Provider Business Mailing Address
First Line : 4802 10TH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11219-2916
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1300 W TERRELL AVE STE 400
Second Line :
City : FORT WORTH
State : TX
Zip : 76104-2829
Country : US
Telephone Number : 817-250-7247
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/12/2013
Last Update Date : 11/24/2025

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Directions to “ BUDDIMA RANASINGHE ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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