Perera, Channa

Perera, Channa is an sole proprietor health care provider with primary practice located at 755 Campbell Ave Ste 3 , West Haven CT 06516-3715. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Perera, Channa can be contacted via phone (203) 937-1100.

Contact Information

Primary practice address
755 Campbell Ave Ste 3 West Haven CT 06516-3715
Phone: (203) 937-1100
Fax: (203) 937-1102
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036182 Connecticut

Profile Details

NPI number 1467458216
LBN Legal business name Perera, Channa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 27th, 2005
Last updated Sep 15th, 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 1467458216 NPPES
Connecticut MEDICAID 00136823
Connecticut Other 110194409
Connecticut Other 708711
Connecticut Other 010036182CT01
Connecticut Other P1013460
Connecticut Other 2026973
Connecticut Other 0V7493

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