Individual
PRIYAN SAMARAKOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
570 NEW WAVERLY PL STE 140, CARY, NC 27518-7405
(919) 439-8580
(919) 463-5600
Mailing address
570 NEW WAVERLY PL STE 140, CARY, NC 27518-7405
(919) 439-8580
(919) 463-5600
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2009-01120
NC
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
2009-01120
NC
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
28542
SC
207RP1001X
Pulmonary Disease Physician
Primary
2009-01120
NC
207RP1001X
Pulmonary Disease Physician
28542
SC
207RS0012X
Sleep Medicine (Internal Medicine) Physician
2009-01120
NC
207RS0012X
Sleep Medicine (Internal Medicine) Physician
28542
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1356395941
MEDCOST
SC
01
—
20088388
SELECT HEALTH
SC
01
—
273038
UNISON
SC
05
—
285426
—
SC
05
—
5905335
—
NC
01
—
593303026005
BCBS
SC
01
—
7398806
CIGNA HEALTHCARE
SC
01
—
7462841
AETNA
SC
01
—
P00353038
RR MEDICARE
SC
Enumeration date
05/19/2006
Last updated
09/09/2019
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