Gajaweera, Ashanthi
Gajaweera, Ashanthi is an individual health care provider with primary practice located at 20 Hagen Dr. Suite 300, Rochester NY 14625. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Gajaweera, Ashanthi can be contacted via phone (585) 586-7550.Contact Information
Primary practice address
20 Hagen Dr. Suite 300
Rochester NY 14625
Phone: (585) 586-7550
Fax: (585) 586-7588
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 229095 | New York |
Profile Details
| NPI number | 1356342497 |
|---|---|
| LBN Legal business name | Gajaweera, Ashanthi |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 10th, 2005 |
| Last updated | Aug 1st, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356342497 | NPPES |
| New York | MEDICAID | 02442015 |
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