Samaraweera, Ravinda
Samaraweera, Ravinda is an sole proprietor health care provider with primary practice located at 700 1St Ave S , Fargo ND 58103-1802. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Samaraweera, Ravinda can be contacted via phone (701) 234-4036.Contact Information
Primary practice address
700 1St Ave S
Fargo ND 58103-1802
Phone: (701) 234-4036
Fax: (701) 234-4160
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 390200000X | Ohio |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 12486 | North Dakota |
Profile Details
| NPI number | 1053573287 |
|---|---|
| LBN Legal business name | Samaraweera, Ravinda |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 29th, 2008 |
| Last updated | Feb 14th, 2021 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053573287 | NPPES |
| North Dakota | MEDICAID | 18289 |
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