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Individual

DILANTHA B. ELLEGALA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4200 E CAMELBACK RD STE 202, PHOENIX, AZ 85018-2718
(602) 462-0469
(602) 635-3846
Mailing address
5310 W THUNDERBIRD RD STE 308, GLENDALE, AZ 85306-4710

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
0101250836
VA
207T00000X
Neurological Surgery Physician
Primary
54678
AZ
207T00000X
Neurological Surgery Physician
LL15652
OR
207T00000X
Neurological Surgery Physician
MD26843
OR

Other

Enumeration date
11/08/2006
Last updated
04/09/2025
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