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Individual

DR. SHYAMA DILANI WICKRAMAARATCHI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
1850 E PARK AVE STE 201, STATE COLLEGE, PA 16803
(814) 234-8800
(814) 235-1133
Mailing address
1850 E PARK AVE STE 201, STATE COLLEGE, PA 16803-6706
(814) 234-8800
(814) 235-1133

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
OS019340
PA
207RI0011X
Interventional Cardiology Physician
Primary
OS019340
PA

Other

Enumeration date
06/27/2013
Last updated
10/19/2018
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