Dissanayake, Sunil M

Dissanayake, Sunil M is an individual health care provider with primary practice located at 1612 Nogales St , Rowland Heights CA 91748-2257. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Dissanayake, Sunil M can be contacted via phone (626) 965-1646.

Contact Information

Primary practice address
1612 Nogales St Rowland Heights CA 91748-2257
Phone: (626) 965-1646
Fax: (626) 965-4697
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A 39447 California

Profile Details

NPI number 1942290093
LBN Legal business name Dissanayake, Sunil M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2005
Last updated Dec 23rd, 2008 - about 16 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1942290093 NPPES
Other HA39447A MEDICARE PIN #2
MEDICAID 00A394470 MEDICARE PIN #2
Other AO763Z MEDICARE PIN #2

Popular Providers