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Individual
KONARA MUDIYANSELAGE SACHITH BANDARA
Active
Individual
KONARA MUDIYANSELAGE SACHITH BANDARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
85021
GA
208M00000X
Hospitalist Physician
295018
NY
Other
Enumeration date
06/29/2015
Last updated
05/04/2020
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