Individual
SUCHARITHA GUNASEKERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
815 E JUAN SANCHEZ BLVD, SAN LUIS, AZ 85349
(928) 627-3822
(928) 627-3989
Mailing address
2060 W 24TH ST, YUMA, AZ 85364-6123
(928) 819-8812
(928) 539-5579
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
36944
AZ
Other
Enumeration date
07/24/2007
Last updated
07/24/2007
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