Individual
DR. GUNASIRI SAMARASINGHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5372 FALLOWATER LN, SUITEA, ROANOKE, VA 24018-0903
(540) 725-7364
(540) 725-7368
Mailing address
5709 LONGRIDGE CIR, ROANOKE, VA 24018-7891
(540) 725-7364
(540) 725-7368
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
VA0101055071
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050069396
MC RR
VA
01
—
150668800
US DEPT OF LABOR PROVIDER
VA
01
—
265113
BC/BS PROVIDER#
VA
05
—
5715547
—
VA
01
—
700021567
CIGNA PROVIDER#
VA
01
—
8598117002
CIGNA HMO PROVIDER#
VA
01
—
TN0101
JOHN DEERE PROVIDER#
VA
01
—
VA0050975
TRICARE PROVIDER#
VA
Enumeration date
06/25/2006
Last updated
07/08/2007
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