DR. Shirani Damayanthi Wijay-Samarasinha, M.D.

NPI #1245263623 in Portage, Michigan

Provider Information

NPI Number: 1245263623
Entity Type: Individual
Name: DR. Shirani Damayanthi Wijay-Samarasinha, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Internal Medicine
Credential: M.D.
Enumeration Date: Jul 8, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 5829 S WESTNEDGE AVE
City: Portage
State: Michigan
ZIP Code: 49002-1456
Phone: (269) 343-4700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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