Individual
DR. HIRAN SHAWN WIJESINGHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6900 N PECOS RD, NORTH LAS VEGAS, NV 89086-4400
(702) 791-9000
Mailing address
2441 W HORIZON RIDGE PKWY STE 100, HENDERSON, NV 89052-5789
(702) 812-3818
(702) 478-5465
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
9446
NV
207P00000X
Emergency Medicine Physician
C51784
CA
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
9446
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00C517840
CALOPTIMA
CA
05
—
00C517840
—
CA
01
—
050618CH06014
BEAR VALLEY TRAILBLAZER
CA
01
—
C51784
BLUE CROSS
CA
Enumeration date
05/24/2006
Last updated
12/12/2023
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