Individual
DR. RANDHI WIJEKULARATNE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
120 E HARRIS AVE, SAN ANGELO, TX 76903-5904
(325) 653-6741
(325) 481-2166
Mailing address
PO BOX 22000, SAN ANGELO, TX 76902-7200
(325) 658-1511
(325) 481-2166
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Q5902
TX
208M00000X
Hospitalist Physician
Primary
M15216
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Q5902
LICENSE
TX
Enumeration date
06/07/2012
Last updated
06/30/2025
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