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Shantha K Nallaperuma
Student in an Organized Health Care Education/Training Program in Burke, Virginia
NPI 1083366884

Shantha K Nallaperuma is a Student in an Organized Health Care Education/Training Program based in Burke, VA. Shantha K Nallaperuma practices in Burke, VA. The NPI Number for Shantha K Nallaperuma is 1083366884 and holds a License No. (Virginia).

The current practice location address for Shantha K Nallaperuma is 5534 Crossrail Ct, Burke, VA and can be reached out via phone at 571-471-8800.

Location: 5534 Crossrail Ct, Burke, VA, 22015-1810
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083366884
Provider Name
Shantha K Nallaperuma
Credential
Provider Entity Type
Individual
Gender
Male
Address
5534 Crossrail Ct, Burke, VA, 22015-1810
Phone Number
571-471-8800
Fax Number
Provider Enumeration Date
01/23/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5534 Crossrail Ct
City
Burke
State
Virginia
Zip
22015-1810
Phone Number
571-471-8800
Fax Number
person
Provider Business Mailing Address Details
Address
5534 Crossrail Ct
City
Burke
State
Virginia
Zip
22015-1810
Phone Number
571-471-8800
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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