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Individual
HASITHA IDANGODAGE
Active
Individual
HASITHA IDANGODAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036.1411045
IL
207Q00000X
Family Medicine Physician
RL12778
ND
Other
Enumeration date
07/02/2013
Last updated
04/14/2026
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