Individual
ASHTON SENATHI WICKRAMASINGHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2423 WILLIAMS DR, GEORGETOWN, TX 78628-3200
(877) 800-5722
Mailing address
205 E UNIVERSITY AVE, SUITE 200, GEORGETOWN, TX 78626-6814
(512) 868-1124
(512) 868-9894
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD27713
OR
207R00000X
Internal Medicine Physician
Primary
N7031
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2174294-01
—
TX
Enumeration date
08/10/2007
Last updated
03/21/2011
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