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Individual

GAVISHA RANURI WAIDYARATNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
THE OHIO STATE UNIVERSITY WEXNER MEDICAL CENTER, 395 W 12TH AVENUE, THIRD FLOOR, COLUMBUS, OH 43210
(614) 293-3989
(614) 293-9789
Mailing address
THE OHIO STATE UNIVERSITY WEXNER MEDICAL CENTER, 395 W 12TH AVENUE, THIRD FLOOR, COLUMBUS, OH 43210
(614) 293-3989
(614) 293-9789

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
04/22/2021
Last updated
04/22/2021
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