Gooneratne, Nalaka S

Gooneratne, Nalaka S is an individual health care provider with primary practice located at 51 N 39Th St , Philadelphia PA 19104-2640. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sleep Medicine, which is considered as his primary health care specialty. Gooneratne, Nalaka S can be contacted via phone (215) 662-2749.

Contact Information

Primary practice address
51 N 39Th St Philadelphia PA 19104-2640
Phone: (215) 662-2749
Fax: (215) 243-4624
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X MD057418L Pennsylvania

Profile Details

NPI number 1235170663
LBN Legal business name Gooneratne, Nalaka S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated Sep 30th, 2019 - about 6 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 1235170663 NPPES
Pennsylvania MEDICAID 0018457530001

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