Individual
SHARMILA D DISSANAIKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3601 4TH ST # MS 8312, LUBBOCK, TX 79430-6340
(806) 743-2164
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
(505) 272-1476
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
M7952
TX
2086S0102X
Surgical Critical Care Physician
Primary
M7952
TX
2086S0102X
Surgical Critical Care Physician
MD2004-0043
NM
Other
Enumeration date
08/23/2006
Last updated
02/13/2025
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