Jayatilake, Prasani Nilwala
Jayatilake, Prasani Nilwala is an individual health care provider with primary practice located at 46 N Saginaw St , Pontiac MI 48342-2155. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Jayatilake, Prasani Nilwala can be contacted via phone (248) 322-6747.Contact Information
Primary practice address
46 N Saginaw St
Pontiac MI 48342-2155
Phone: (248) 322-6747
Fax: (248) 322-5787
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 4301075100 | Michigan |
Profile Details
| NPI number | 1548211832 |
|---|---|
| LBN Legal business name | Jayatilake, Prasani Nilwala |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 12th, 2006 |
| Last updated | Aug 30th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548211832 | NPPES |
| Michigan | MEDICAID | 4473553 |
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