Individual
CHANGA KURUKULARATNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
MD200998
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00258811
—
MS
05
—
1091022
—
LA
Enumeration date
06/01/2007
Last updated
11/29/2007
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