Individual
SURESH JAYANTHA DESILVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
21332 NAUTIQUE BLVD, APT # 204, CORNELIUS, NC 28031-6410
(704) 650-3789
Mailing address
21332 NAUTIQUE BLVD, APT # 204, CORNELIUS, NC 28031-6410
(704) 650-3789
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
00971315
NC
207P00000X
Emergency Medicine Physician
Primary
13961
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2246349F
MEDICARE PART B PROVIDER #
NC
05
—
89107OL
—
NC
Enumeration date
04/07/2006
Last updated
03/14/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us