Ravinda Samaraweera M.D.

NPI 1053573287 - Psychiatry & Neurology - 2084N0400X

NPI Details
NPI 1053573287
Gender Male
Enumeration Date 06/29/2008
Last Updated 11/27/2013
Entity Type Individual
Active Over 9 years ago
Practice Location
700 1ST AVE S
FARGO ND, 58103-1802, US
Phone (701) 234-4036
Fax (701) 234-4160
Business Location
PO BOX 2168
FARGO ND, 58107-2168, US
Phone (701) 234-1230
Fax (701) 234-2045
Taxonomy Code 2084N0400X
License State Ohio
License Number 390200000X
Remove 1053573287 NPI Number

According to our database, Dr. Ravinda Samaraweera M.D. NPI is 1053573287, taxonomy code is 2084N0400X and license number is 390200000X, license state is located at Ohio. Ravinda Samaraweera M.D. physically located at 700 1st Ave S, Fargo ND, 58103-1802. NPI Number Ravinda Samaraweera M.D. has the Individual type.

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1053573287 NPI number is provided on an as is basis without warranty of any kind. 1053573287 is maintained by the National Plan & Provider Enumeration System. The contents of Ravinda Samaraweera M.D. are for informational purposes only.