Gunatilake, Ravindu P.

Gunatilake, Ravindu P. is an individual health care provider with primary practice located at 5605 W Eugie Ave Ste 111 , Glendale AZ 85304-1273. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is his primary health care specialty. Gunatilake, Ravindu P. can be contacted via phone (480) 756-6000.

Contact Information

Primary practice address
5605 W Eugie Ave Ste 111 Glendale AZ 85304-1273
Phone: (480) 756-6000
Fax: (855) 636-8770
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X 37439 Arizona
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 37439 Arizona

Profile Details

NPI number 1659561553
LBN Legal business name Gunatilake, Ravindu P.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2007
Last updated Apr 9th, 2021 - about 3 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 1659561553 NPPES
Arizona MEDICAID 008871

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