Individual
PADMA M. ARIYAWANSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4475 S EASTERN AVE, LAS VEGAS, NV 89119-7826
(702) 669-5840
(702) 650-5729
Mailing address
PO BOX 15645, LAS VEGAS, NV 89114-5645
(702) 560-2900
(702) 560-2928
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
15235
NV
208000000X
Pediatrics Physician
M6126
ID
208000000X
Pediatrics Physician
MD00030248
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1629051826
—
NV
05
—
8143166
—
WA
Enumeration date
11/22/2005
Last updated
08/25/2014
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