Individual
CHANGA KURUKULARATNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
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