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NPI Code Detail

MEDICARE: HASHANI HETTIARACHCHI DO

MEDICARE: HASHANI HETTIARACHCHI 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
1208D00000XGeneral Practice Physician3119NE

General Provider Information

NPI Number : 1801651898
Entity Type Code : Individual
Provider Name (Legal Business Name) : HASHANI HETTIARACHCHI DO
Provider Business Mailing Address
First Line : 9040 JACKSON AVE
Second Line :
City : TACOMA
State : WA
Zip : 98431-0001
Country : US
Telephone Number : 253-968-4184
Fax Number :
Provider Business Practice Location Address
First Line : 9040 JACKSON AVE
Second Line :
City : TACOMA
State : WA
Zip : 98431-0001
Country : US
Telephone Number : 253-968-4184
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/19/2024
Last Update Date : 03/27/2026

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Directions to “ HASHANI HETTIARACHCHI DO” Practice Location

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