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Individual
MELANIE NILUPUL WATHUGALA
Active
Individual
MELANIE NILUPUL WATHUGALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
187166
CA
207Q00000X
Family Medicine Physician
Primary
290867
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
280443
—
MA
Enumeration date
05/07/2019
Last updated
08/17/2023
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