Individual
DR. CHARMY KARIYAWASAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1300 W TERRELL AVE STE K230, FORT WORTH, TX 76104-2820
(817) 250-4906
(817) 250-4815
Mailing address
813 ORLEANS DR, SOUTHLAKE, TX 76092-1318
(203) 417-6768
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
53838
CT
207R00000X
Internal Medicine Physician
Primary
Q4438
TX
Other
Enumeration date
03/28/2012
Last updated
04/04/2022
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