Perera, Chrishanthi
Perera, Chrishanthi is an sole proprietor health care provider with primary practice located at 2423 Williams Dr Ste 105 , Georgetown TX 78628-3200. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Perera, Chrishanthi can be contacted via phone (877) 800-5722.Contact Information
Primary practice address
2423 Williams Dr Ste 105
Georgetown TX 78628-3200
Phone: (877) 800-5722
Fax: (128) 647-2385
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | M6825 | Texas |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | M6825 | Texas |
Profile Details
| NPI number | 1205871845 |
|---|---|
| LBN Legal business name | Perera, Chrishanthi |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 18th, 2006 |
| Last updated | Mar 8th, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205871845 | NPPES |
| Texas | Other | M6825 | LICENSE |
| Texas | MEDICAID | 1918385-06 | LICENSE |
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