Individual
RAJITHA L PREMARATNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2005 INJO DR STE 102, LAKE HAVASU CITY, AZ 86403-5874
(928) 680-4255
(928) 680-4256
Mailing address
2005 INJO DR STE 102, LAKE HAVASU CITY, AZ 86403-5874
(928) 680-4255
(928) 680-4256
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MO# 2006014659
MO
207RR0500X
Rheumatology Physician
Primary
46348
AZ
Other
Enumeration date
05/23/2007
Last updated
08/27/2025
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