Peterson, Randhi Wijekularatne

Peterson, Randhi Wijekularatne is an individual health care provider with primary practice located at 520 S Eagle Rd , Meridian ID 83642-6351. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Peterson, Randhi Wijekularatne can be contacted via phone (702) 493-9051.

Contact Information

Primary practice address
520 S Eagle Rd Meridian ID 83642-6351
Phone: (702) 493-9051
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X M15216 Idaho
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X Q5902 Texas

Profile Details

NPI number 1831451681
LBN Legal business name Peterson, Randhi Wijekularatne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2012
Last updated Jun 17th, 2020 - about 6 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 1831451681 NPPES
Texas Other Q5902 LICENSE

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