Organization
CIVIC CENTER PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DHARMIN WICKREMERATNE (OFFICE MANAGER)
(702) 633-7970
Entity
Organization
Contact information
Practice address
2225 CIVIC CENTER DR STE 280, NORTH LAS VEGAS, NV 89030-6332
(702) 633-7970
(702) 633-5649
Mailing address
2225 CIVIC CENTER DR STE 280, NORTH LAS VEGAS, NV 89030-6332
(702) 633-7970
(702) 633-5649
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100502653
—
NV
Enumeration date
12/14/2007
Last updated
07/21/2026
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