Asitha Dineth Libbey Jayawardena
Pediatric Otolaryngology
2525 Chicago Ave
Minneapolis
, Minnesota 55404-4518
Asitha Dineth Libbey Jayawardena
Pediatric Otolaryngology
2525 Chicago Ave
Minneapolis
, Minnesota 55404-4518
(612) 813-6889
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About
Features
Specialties
- Pediatric Otolaryngology
Languages spoken
- English
Location
First Address
- Asitha Dineth Libbey Jayawardena
- 2525 Chicago Ave
- Minneapolis, MN
- Zip : 55404-4518
- Fax : (612) 813-6889
- Phone : (612) 874-1292
Second Address
- Asitha Dineth Libbey Jayawardena
- 2525 Chicago Ave
- Minneapolis, MN
- Zip : 55404-4518
- Fax : (612) 813-6889
- Phone : (612) 874-1292
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207YP0228X | Pediatric Otolaryngology | NA | MN |
National Provider Identifier
| NPI | 1689093460 |
|---|---|
| Provider Name | Asitha Dineth Libbey Jayawardena |
| First Address | Minneapolis, MN 55404-4518 |
| Second Address | Minneapolis, MN 55404-4518 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/04/2014 |
| Last Update Date | 16/05/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.