Individual
DR. RUWAN KIRINGODA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3200 KEARNEY ST, FREMONT, CA 94538-2299
(510) 490-1222
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
(510) 490-1222
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
A120942
CA
390200000X
Student in an Organized Health Care Education/Training Program
263011
MA
Other
Enumeration date
07/15/2010
Last updated
06/02/2020
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