Eriwarawe Mahadurage Hettiarachchi M.D.

NPI 1295003564 - Internal Medicine - 207R00000X

NPI Details
NPI 1295003564
Gender Female
Enumeration Date 12/01/2011
Last Updated 11/20/2013
Entity Type Individual
Active Over 5 years ago
Practice Location
28411 NORTHWESTERN HWY
SUITE 1050
SOUTHFIELD MI, 48034-5544, US
Phone (248) 354-4709
Fax (248) 354-4807
Business Location
PO BOX 674147
DETROIT MI, 48267-4147, US
Phone (248) 354-4709
Fax (248) 354-4807
Toxanomy
Taxonomy Code 207R00000X
License State Michigan
License Number 4301092203
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According to our database, Eriwarawe Mahadurage Hettiarachchi M.D. NPI is 1295003564, taxonomy code is 207R00000X and license number is 4301092203, license state is located at Michigan. Eriwarawe Mahadurage Hettiarachchi M.D. physically located at 28411 Northwestern Hwy, Southfield MI, 48034-5544. NPI Number Eriwarawe Mahadurage Hettiarachchi M.D. has the Individual type.

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1295003564 NPI number is provided on an as is basis without warranty of any kind. 1295003564 is maintained by the National Plan & Provider Enumeration System. The contents of Eriwarawe Mahadurage Hettiarachchi M.D. are for informational purposes only.