Individual
ACHINI PERERA DINGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1948 S EAGLE RD, MERIDIAN, ID 83642-2452
(208) 514-2928
Mailing address
3340 E GOLDSTONE WAY, MERIDIAN, ID 83642-1026
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
D60427
MD
207RR0500X
Rheumatology Physician
Primary
M-10246
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
105845
KAISER PROVIDER #
MD
01
—
62009401
BCBS MD PROV #
MD
01
—
P00063033
TRAVELERS RR MEDICARE
MD
01
—
T6320004
BCBS FEDERAL PROV #
MD
Enumeration date
01/31/2006
Last updated
02/17/2023
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