Individual
DR. SISIRA RANASINGHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
228D E COLLINS RD, FORT WAYNE, IN 46825-5304
(260) 471-7675
(260) 471-0701
Mailing address
228 E COLLINS RD STE D, FORT WAYNE, IN 46825-5394
(260) 471-7675
(260) 471-0701
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
01026434A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000083909
ANTHEM BLUE CROSS
IN
01
—
1111054
CIGNA INSURANCE
IN
05
—
200299150
—
IN
01
—
220029374
RAIL ROAD MEDICARE
IN
01
—
3647
PARTNERS HEALTH PLAN
IN
01
—
4896
PHYSICIANS HEALTH PLAN
IN
Enumeration date
05/27/2005
Last updated
06/10/2008
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