Individual
MRS. PRABASHA RANMINI WEERADDANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
DANBURY HOSPITAL, 24 HOSPITAL AVE, DANBURY, CT 06810
(203) 739-8105
Mailing address
1 KENNEDY AVE, UNIT 2420, DANBURY, CT 06810
(404) 910-6818
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
77413
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
05/08/2021
Last updated
06/06/2024
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