Gomes Cumaranatunge, G. Reshmaal Deepthi

Gomes Cumaranatunge, G. Reshmaal Deepthi is an individual health care provider with primary practice located at 5859 W Talavi Blvd Suite 100, Glendale AZ 85306-1869. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Nuclear Cardiology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is her primary health care specialty. Gomes Cumaranatunge, G. Reshmaal Deepthi can be contacted via phone (602) 298-7777.

Contact Information

Primary practice address
5859 W Talavi Blvd Suite 100 Glendale AZ 85306-1869
Fax: (623) 930-6060
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 38019 Arizona
Allopathic & Osteopathic Physicians / Nuclear Cardiology 207UN0901X 38019 Arizona

Profile Details

NPI number 1235325507
LBN Legal business name Gomes Cumaranatunge, G. Reshmaal Deepthi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2007
Last updated Aug 26th, 2011 - about 13 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 1235325507 NPPES
Arizona MEDICAID 318603

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