Individual
DR. MALITHI JAYASUNDARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2421 SILVER STREAM LN, WILMINGTON, NC 28401-7684
(910) 815-7421
(910) 341-1900
Mailing address
1202 MEDICAL CENTER DR, WILMINGTON, NC 28401-7307
(910) 341-3300
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125061104
IL
207R00000X
Internal Medicine Physician
MD21626
ME
207RR0500X
Rheumatology Physician
Primary
2021-00789
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2021-00789
MEDICAL LICENSE
NC
Enumeration date
07/26/2012
Last updated
01/11/2023
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