Individual
DR. VENUKA WICKRAMAARACHCHI MABOTUWANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11325 SEVEN LOCKS RD STE 290, POTOMAC, MD 20854-3235
(240) 507-5110
Mailing address
15825 SHADY GROVE RD STE 140, ROCKVILLE, MD 20850-4015
(301) 869-9776
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0098501
MD
207Q00000X
Family Medicine Physician
MD60656272
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1952741464
—
WA
Enumeration date
06/28/2013
Last updated
05/15/2024
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