Individual
NALAKA S GOONERATNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
51 N 39TH ST, PHILADELPHIA, PA 19104-2640
(215) 662-2749
(215) 243-4624
Mailing address
51 N 39TH ST, PHILADELPHIA, PA 19104-2640
(215) 662-2749
(215) 243-4624
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
MD057418L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018457530001
—
PA
Enumeration date
06/09/2006
Last updated
09/30/2019
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