Individual
MADUWILLA GAMARACHCH AMILA NIRMAL SILVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
325 9TH AVE, SEATTLE, WA 98104-2420
(206) 543-3690
(206) 685-3139
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 520-5700
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
TR61031278
WA
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
TR61031278
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346872579
—
WA
Enumeration date
02/05/2020
Last updated
03/01/2022
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