Individual
DR. DON WALTER KANNANGARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D..
Contact information
Practice address
2750 BRIDLE PATH PL, BETHLEHEM, PA 18017-3804
(610) 778-2154
(610) 317-9449
Mailing address
2750 BRIDLE PATH PL, BETHLEHEM, PA 18017-3804
(610) 778-2154
(610) 317-9449
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
MD019081E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007985050001
—
PA
01
—
25MA06232100
LICENSE
NJ
01
—
A33402
LICENSE
CA
01
—
D06692200
CDS REGISTRATION
NJ
01
—
MD019081E
LICENSE
PA
Enumeration date
09/05/2005
Last updated
03/07/2023
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