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Individual
DR. THILINA PRANEETHBOGATEGEDARA MARASINGHE
Active
Individual
DR. THILINA PRANEETHBOGATEGEDARA MARASINGHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M4871
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
199419602
—
TX
01
—
199419603
WELLMED MEDICAID
TX
01
—
8W9000
BCBS
TX
01
—
P00379667
RR MEDICARE
TX
01
—
TXB158721
WELLMED MEDICARE
TX
Enumeration date
11/14/2006
Last updated
10/17/2016
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