Individual
CHALANA UMAYANGANEE GUNAWARDENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 MEDICAL CENTER DR, FRANKLIN, OH 45005-2584
(513) 705-4754
Mailing address
405 W GRAND AVE, DAYTON, OH 45405-7538
(937) 723-3276
(937) 723-3277
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
094775
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3077389
—
OH
Enumeration date
05/28/2008
Last updated
02/02/2021
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