Individual
DAMASCENE SRIYAN KURUKULASURIYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
910 N COLLEGE AVE STE 4, COLUMBIA, MO 65201-4797
(636) 642-1215
(573) 234-4799
Mailing address
910 N COLLEGE AVE STE 4, COLUMBIA, MO 65201-4797
(636) 642-1215
(573) 234-4799
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
114257
MO
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
MD114257
MO
Other
Enumeration date
04/11/2006
Last updated
10/11/2023
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