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Individual
NUWAN PATHAGAMAGE
Active
Individual
NUWAN PATHAGAMAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125.079778
IL
208M00000X
Hospitalist Physician
Primary
036171884
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/23/2022
Last updated
03/27/2025
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