Individual
DINUSHA INDRA BANDARANAYAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10815 W MCDOWELL RD STE 301, AVONDALE, AZ 85392-5016
(623) 433-0106
(623) 535-0741
Mailing address
PO BOX 748817, ATLANTA, GA 30374-8817
(813) 286-0033
(813) 282-1806
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA57367
AZ
Other
Enumeration date
04/05/2019
Last updated
09/15/2025
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