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
Fax: (248) 322-5787
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548211832 NPPES
Michigan MEDICAID 4473553

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