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Individual
THIRAN UDAWATTA
Active
Individual
THIRAN UDAWATTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
MD61031268
WA
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
MD61031268
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2154392
—
WA
01
—
440477
WA LABOR & INDUSTRIES
WA
Enumeration date
05/25/2014
Last updated
08/26/2021
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