Individual
ANGELO NISHAN SENEVIRATNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2500 GASKINS RD STE A, RICHMOND, VA 23238-1480
(804) 774-7099
(804) 528-5864
Mailing address
2500 GASKINS RD STE A, RICHMOND, VA 23238-1480
(804) 774-7099
(804) 528-5864
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0102208638
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2021
Last updated
12/31/2024
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