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NPI Code Detail

MEDICARE: DR. MALISHA LIYANAGE DO

MEDICARE:  DR. MALISHA  LIYANAGE  DO
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
1207Q00000XFamily Medicine PhysicianOS023623PA

General Provider Information

NPI Number : 1538742978
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MALISHA LIYANAGE DO
Provider Business Mailing Address
First Line : 305 W NORTH ST
Second Line :
City : NAZARETH
State : PA
Zip : 18064-1308
Country : US
Telephone Number : 484-822-5680
Fax Number :
Provider Business Practice Location Address
First Line : 305 W NORTH ST
Second Line :
City : NAZARETH
State : PA
Zip : 18064-1308
Country : US
Telephone Number : 484-822-5680
Fax Number : 866-521-0517
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2021
Last Update Date : 06/15/2026

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Directions to “ DR. MALISHA LIYANAGE DO” Practice Location

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