Perera, Chrishanthi

Perera, Chrishanthi is an sole proprietor health care provider with primary practice located at 2423 Williams Dr Ste 105 , Georgetown TX 78628-3200. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Perera, Chrishanthi can be contacted via phone (877) 800-5722.

Contact Information

Primary practice address
2423 Williams Dr Ste 105 Georgetown TX 78628-3200
Fax: (128) 647-2385
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X M6825 Texas
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X M6825 Texas

Profile Details

NPI number 1205871845
LBN Legal business name Perera, Chrishanthi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 18th, 2006
Last updated Mar 8th, 2021 - about 3 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 1205871845 NPPES
Texas Other M6825 LICENSE
Texas MEDICAID 1918385-06 LICENSE

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