Individual
DR. DILAN SAMARAWICKRAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2020 COURT ST, REDDING, CA 96001-1822
(530) 243-1236
(530) 243-8161
Mailing address
PO BOX 492080, REDDING, CA 96049-2080
(530) 243-1236
(530) 243-8161
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A114890
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CA165494
MEDICARE PTAN
CA
01
—
CA165501
MEDICARE PTAN
CA
Enumeration date
04/26/2010
Last updated
09/13/2016
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