Padma Wijetilleke,Md Pc

LBN: Padma Wijetilleke,Md Pc
Padma Wijetilleke,Md Pc is an health care organization with primary practice located at 611 S Carlin Springs Rd Ste 101, Arlington VA 22204-1064. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as the primary health care specialty. Padma Wijetilleke,Md Pc can be contacted via phone (703) 379-0704, or through Wijetilleke, Padma P via phone (703) 379-0704.

Contact Information

Primary practice address
611 S Carlin Springs Rd Ste 101 Arlington VA 22204-1064
Phone: (703) 379-0704
Fax: (703) 379-7947
Website:
Map and Directions
Authorized official contact:
Name: Wijetilleke, Padma P Doctor of Medicine (MD)
Phone: (703) 379-0704

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 0101033749 Virginia

Profile Details

NPI number 1437473238
LBN Legal business name Padma Wijetilleke,Md Pc
DBA Doing business as
Authorized official Wijetilleke, Padma P Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 23rd, 2010
Last updated Mar 23rd, 2010 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437473238 NPPES
Virginia MEDICAID 6716059

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