Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0200X | Critical Care Medicine | 119607 | NY |
N | 207RP1001X | Pulmonary Disease | 119607 | NY |
NPI | 1033298492 |
---|---|
Provider Name | Anura Mahanil Rajapaksa |
First Address | New York, NY 10023-5928 |
Second Address | Bronx, NY 10463-3943 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/11/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0063004 | USHC (01) | NY |
B12632 | (02) | |
WP561 | OXFORD (01) |