Individual
CHAMPA DASSANAYAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6900 ORCHARD LAKE RD STE 101, WEST BLOOMFIELD, MI 48322-3424
(248) 855-7565
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
(947) 522-1863
(947) 522-0307
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301064282
MI
Other
Enumeration date
01/12/2006
Last updated
08/05/2025
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