Dayaratna, Sandra D

Dayaratna, Sandra D is an individual health care provider with primary practice located at 833 Chestnut Street 1St Floor, Philadelphia PA 19107-4420. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Dayaratna, Sandra D can be contacted via phone (215) 955-5000.

Contact Information

Primary practice address
833 Chestnut Street 1St Floor Philadelphia PA 19107-4420
Fax: (215) 923-1089
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 206983 Massachusetts
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 35-088723 Ohio
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD437090 Pennsylvania

Profile Details

NPI number 1275500712
LBN Legal business name Dayaratna, Sandra D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 3rd, 2006
Last updated Jul 8th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275500712 NPPES
Other 206983 MA LICENCE
Other P00422677 MA LICENCE
Other 000000221069 MA LICENCE
Other 7400041 MA LICENCE
Other 000000509157 MA LICENCE
Other 51020 MA LICENCE
Other 7228135 MA LICENCE
Other 7228135 MA LICENCE
Other 740798 MA LICENCE
Other J22704 MA LICENCE
Other 1895243 MA LICENCE
Other 206983 MA LICENCE
MEDICAID 2703873 MA LICENCE
Other 9676427001 MA LICENCE
Other 2339545 MA LICENCE
Other 414958 MA LICENCE
Other J22704 MA LICENCE

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