Mudannayake, Louis
Mudannayake, Louis is an sole proprietor health care provider with primary practice located at 506 6Th St , Brooklyn NY 11215-3609. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is his primary health care specialty. Mudannayake, Louis can be contacted via phone (718) 780-5246.Contact Information
Primary practice address
506 6Th St
Brooklyn NY 11215-3609
Phone: (718) 780-5246
Fax: (718) 780-3257
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207RH0002X | 225697 | New York |
Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 225697 | New York |
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207RH0002X | 12256987 | New York |
Profile Details
NPI number | 1518914654 |
---|---|
LBN Legal business name | Mudannayake, Louis |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 27th, 2006 |
Last updated | Sep 13th, 2023 - about last year |
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 | 1518914654 | NPPES |
New York | MEDICAID | 02333420 |
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