Ekanayake, Surendranath P

Ekanayake, Surendranath P is an individual health care provider with primary practice located at 12502 Willowbrook Rd Suite 550, Cumberland MD 21502-6491. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Ekanayake, Surendranath P can be contacted via phone (301) 723-3940.

Contact Information

Primary practice address
12502 Willowbrook Rd Suite 550 Cumberland MD 21502-6491
Fax: (301) 723-3941
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X D54964 Maryland

Profile Details

NPI number 1831175173
LBN Legal business name Ekanayake, Surendranath P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2005
Last updated Oct 31st, 2017 - about 7 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 1831175173 NPPES
West Virginia MEDICAID 3810005772
West Virginia Other 211849
West Virginia MEDICAID 1007288800008
West Virginia MEDICAID 482501200
West Virginia MEDICAID 188838001
West Virginia Other 8G7178

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