Organization
ADVANCED BREAST & COSMETIC SURGERY INC
Active
Other names
Advanced Plastic and Hand Surgery, Gem City Hand and Microsurgeons
Organization subpart
No
Provider details
NPI number
Authorized official
SUNISHKA M WIMALAWANSA MD (PRESIDENT)
(937) 704-2130
Entity
Organization
Contact information
Practice address
580 LINCOLN PARK BLVD STE 255, KETTERING, OH 45429-3493
(937) 949-8457
(937) 949-8695
Mailing address
2361 LAKEVIEW DR, BEAVERCREEK, OH 45431-3695
(937) 704-2130
(937) 704-2140
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
35054567R
OH
208200000X
Plastic Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000186344
ANTHEM
OH
01
—
2589812
UHC
OH
Enumeration date
09/26/2006
Last updated
06/18/2025
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