Jayasiri Ravinath Fernando
NPI #1427034917 in Charleston, Illinois
Provider Information
- NPI Number
- 1427034917
- Entity Type
- Individual
- Name
- Jayasiri Ravinath Fernando
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Radiology - Diagnostic Radiology
- Enumeration Date
- Dec 16, 2005
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 907 W LINCOLN AVE
- City
- Charleston
- State
- Illinois
- ZIP Code
- 61920-2413
- Phone
- (217) 345-2100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Radiology - Diagnostic Radiology — Diagnostic Radiology |
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