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Organization

DR. SHIRANEE JAYASOORIYA INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHIRANEE M. JAYASOORIYA MD (PHYSICIAN)
(702) 869-6070
Entity
Organization

Contact information

Practice address
8224 W CHARLESTON BLVD, SUITE 2, LAS VEGAS, NV 89117-9096
(702) 869-6070
(702) 630-6080
Mailing address
8224 W CHARLESTON BLVD, SUITE 2, LAS VEGAS, NV 89117-9096
(702) 869-6070
(702) 630-6080

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
NV

Other

Enumeration date
07/01/2006
Last updated
08/20/2008
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