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Dr. Chanaka Nadeeshan Kahathuduwa, MDPHD
Student in an Organized Health Care Education/Training Program in Lubbock, Texas
NPI 1508503277

Chanaka Nadeeshan Kahathuduwa is a Student in an Organized Health Care Education/Training Program based in Lubbock, TX. Chanaka Nadeeshan Kahathuduwa practices in Lubbock, TX and has the professional credentials of MDPHD. The NPI Number for Chanaka Nadeeshan Kahathuduwa is 1508503277 and holds a License No. 746677 (Texas).

The current practice location address for Chanaka Nadeeshan Kahathuduwa is 3601 4Th St Rm 3A105, Lubbock, TX and can be reached out via phone at 806-743-2391 and via fax at 806-743-5687.

Location: 3601 4Th St Rm 3A105, Lubbock, TX, 79430
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508503277
Provider Name
Chanaka Nadeeshan Kahathuduwa
Credential
MDPHD
Provider Entity Type
Individual
Gender
Male
Address
3601 4Th St Rm 3A105, Lubbock, TX, 79430
Phone Number
806-743-2391
Fax Number
806-743-5687
Provider Enumeration Date
05/16/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3601 4Th St Rm 3A105
City
Lubbock
State
Texas
Zip
79430-0002
Phone Number
806-743-2391
Fax Number
806-743-5687
person
Provider Business Mailing Address Details
Address
3601 4Th St Rm 3A105
City
Lubbock
State
Texas
Zip
79430-0002
Phone Number
806-743-2391
Fax Number
806-743-5687
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.
746677 (Texas)
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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