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Individual

DR. THILI N KULATILAKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
4721 N 1ST AVE, TUCSON, AZ 85718-5610
(520) 887-0035
(520) 888-0134
Mailing address
4721 N 1ST AVE, TUCSON, AZ 85718-5610
(520) 887-0035
(520) 888-0134

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21515
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1344307004
AZ
Enumeration date
09/25/2006
Last updated
04/18/2008
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