Individual
SHALIKA BASNAYAKE KATUGAHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
820 PRUDENTIAL DR STE 515, JACKSONVILLE, FL 32207-8207
(904) 396-4886
(904) 398-0496
Mailing address
PO BOX 45443, SALT LAKE CITY, UT 84145-0443
(904) 202-1032
(904) 376-4107
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
0101241286
VA
207RI0200X
Infectious Disease Physician
Primary
ME147258
FL
Other
Enumeration date
02/23/2009
Last updated
05/03/2021
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