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Tikiri Ratnayake M.d., Inc.
Health Service Clinic/Center in Valparaiso, Indiana
NPI 1629235403

Tikiri Ratnayake M.d., Inc. is a Health Service Clinic/Center based in Valparaiso, IN and is specialized in Health Service. Tikiri Ratnayake M.d., Inc. practices in Valparaiso, IN. The NPI Number for Tikiri Ratnayake M.d., Inc. is 1629235403 and holds a License No. IN01028333 (Indiana).

The current practice location address for Tikiri Ratnayake M.d., Inc. is 1910 Calumet Ave, Valparaiso, IN and can be reached out via phone at 219-464-8115.

Location: 1910 Calumet Ave, Valparaiso, IN, 46384-1249
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1629235403
Provider Name
Tikiri Ratnayake M.d., Inc.
Credential
Provider Entity Type
Organization
Address
1910 Calumet Ave, Valparaiso, IN, 46384-1249
Phone Number
219-464-8115
Fax Number
Provider Enumeration Date
05/20/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000085652 01 IN BLUE CROSS PIN
000000084568 01 IN BLUE CROSS PIN
institution
Provider Business Practice Location Address Details
Address
1910 Calumet Ave
City
Valparaiso
State
Indiana
Zip
46383-2704
Phone Number
219-464-8115
Fax Number
person
Provider Business Mailing Address Details
Address
1910 Calumet Ave
City
Valparaiso
State
Indiana
Zip
46383-2704
Phone Number
219-464-8115
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Health Service
Taxonomy
261QH0100X
License No.
IN01028333 (Indiana)
Definition
Definition to come...
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