Individual
SHAUNA HIMASHI GUNARATNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-8039
Mailing address
630 W 168TH ST # 4, NEW YORK, NY 10032-3725
(212) 305-8039
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
300843
NY
207R00000X
Internal Medicine Physician
L-259163
MA
207RI0200X
Infectious Disease Physician
Primary
300843
NY
Other
Enumeration date
06/09/2014
Last updated
05/10/2024
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