Individual
DR. NISHANI BHAGYA HEWAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2601 E ROOSEVELT ST, PHOENIX, AZ 85008-4973
(602) 344-5011
Mailing address
2929 E THOMAS RD, PHOENIX, AZ 85016-8034
(602) 470-5000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
74513
AZ
208600000X
Surgery Physician
MT216550
PA
Other
Enumeration date
06/15/2018
Last updated
04/15/2025
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