PRABATH HERATH MUDIYANSELAGE, DO

Hospitalist

Active Individual
NPI: 1619463130

Practice Address

10401 W THUNDERBIRD BLVD
Sun City, AZ 85351

Phone: (623) 832-4728

Specialties

Specialty Code Primary License
Internal Medicine 207R00000X No 58.030211 (OH)
Hospitalist 208M00000X Yes 009089 (AZ)

Frequently Asked Questions

NPI 1619463130 is the National Provider Identifier for PRABATH HERATH MUDIYANSELAGE, DO, a Hospitalist provider located in Sun City, AZ. This NPI was enumerated on July 9, 2018.
PRABATH HERATH MUDIYANSELAGE, DO practices at 10401 W THUNDERBIRD BLVD, Sun City, AZ 85351.

Quick Facts

NPI
1619463130
Type
Individual
Enumerated
Jul 9, 2018
Last Updated
Jan 15, 2025

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