Ariyawansa, Padma M.

Ariyawansa, Padma M. is an individual health care provider with primary practice located at 4475 S Eastern Ave , Las Vegas NV 89119-7826. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Ariyawansa, Padma M. can be contacted via phone (702) 669-5840.

Contact Information

Primary practice address
4475 S Eastern Ave Las Vegas NV 89119-7826
Phone: (702) 669-5840
Fax: (702) 650-5729
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD00030248 Washington
Allopathic & Osteopathic Physicians / Pediatrics 208000000X M6126 Idaho
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 15235 Nevada

Profile Details

NPI number 1629051826
LBN Legal business name Ariyawansa, Padma M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2005
Last updated Aug 25th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629051826 NPPES
Washington MEDICAID 8143166
Washington MEDICAID 1629051826

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