Wijetunga, Mevan Nandaka

Wijetunga, Mevan Nandaka is an individual health care provider with primary practice located at 1300 S Columbia Rd , Grand Forks ND 58201. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Wijetunga, Mevan Nandaka can be contacted via phone (701) 780-6236.

Contact Information

Primary practice address
1300 S Columbia Rd Grand Forks ND 58201
Fax: (701) 780-6221
Website:

Profile Details

NPI number 1457308645
LBN Legal business name Wijetunga, Mevan Nandaka
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2006
Last updated Dec 22nd, 2020 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457308645 NPPES
Virginia MEDICAID 15880581
Virginia MEDICAID 034425200
Virginia MEDICAID 967611200
Virginia MEDICAID 400766200

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