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Individual

DR. PRIYANTHA NALINDA WIJEWARDANE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1505 W 11TH ST, LITTLE ROCK, AR 72202-4619
(501) 376-1160
(501) 376-3977
Mailing address
1505 W 11TH ST, LITTLE ROCK, AR 72202-4619
(501) 376-1160
(501) 376-3977

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
E-1124
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
130532001
AR
Enumeration date
09/15/2005
Last updated
12/23/2009
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