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Individual

DR. SANDRA D DAYARATNA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
833 CHESTNUT STREET, 1ST FLOOR, PHILADELPHIA, PA 19107-4420
(215) 955-5000
(215) 923-1089
Mailing address
833 CHESTNUT STREET, 1ST FLOOR, PHILADELPHIA, PA 19107-4420
(215) 955-5000
(215) 923-1089

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
206983
MA
207V00000X
Obstetrics & Gynecology Physician
35-088723
OH
207V00000X
Obstetrics & Gynecology Physician
Primary
MD437090
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000221069
UNISON
OH
01
000000509157
ANTHEM
OH
01
1895243
FIRST HEALTH
01
206983
MA LICENCE
01
2339545
AETNA HMO
05
2703873
OH
01
414958
WELLCARE
OH
01
51020
FALLON
01
7228135
AETNA
OH
01
7228135
AETNA NON HMO
01
7400041
EVERCARE
01
740798
BUCKEYE
OH
01
9676427001
CIGNA
01
J22704
BLUE CARE ELECT
01
P00422677
RAILROAD MEDICARE
OH
Enumeration date
03/03/2006
Last updated
07/08/2014
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