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NPI Code Detail

MEDICARE: THINESH DAHANAYAKE MD

MEDICARE: THINESH DAHANAYAKE 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
1207RP1001XPulmonary Disease Physician049691CT

Other Identifiers

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

General Provider Information

NPI Number : 1639293186
Entity Type Code : Individual
Provider Name (Legal Business Name) : THINESH DAHANAYAKE MD
Provider Business Mailing Address
First Line : 79 WAWECUS ST STE 103
Second Line :
City : NORWICH
State : CT
Zip : 06360-2173
Country : US
Telephone Number : 860-886-1862
Fax Number : 860-886-2046
Provider Business Practice Location Address
First Line : 79 WAWECUS ST STE 103
Second Line :
City : NORWICH
State : CT
Zip : 06360-2173
Country : US
Telephone Number : 860-886-1862
Fax Number : 860-886-2046
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2007
Last Update Date : 05/21/2024

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Directions to “ THINESH DAHANAYAKE MD” Practice Location

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