Himali S Wijesooriya, MD
Family Medicine in West Branch, Michigan
1720219926- Practice location
- 640 Court Street, West Branch, MI 48661-0001
- Phone
- 989-345-8120
- Fax
- 989-345-8129
- Last updated
- December 5, 2018
Himali Sheshtra Wijesooriya is a Family Medicine based in West Branch, MI. Himali Sheshtra Wijesooriya practices in West Branch, MI and has the professional credentials of MD. The NPI Number for Himali Sheshtra Wijesooriya is 1720219926 and holds a License No. 25MA10206300 (NJ). The current practice location address for Himali Sheshtra Wijesooriya is 640 Court Street, West Branch, MI 48661-0001 and can be reached out via phone at 989-345-8120 and via fax at 989-345-8129.
Provider Profile Details
- NPI Number
- 1720219926
- Provider Name
- Himali Sheshtra Wijesooriya
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 640 Court Street, West Branch, MI 48661-0001
- Phone Number
- 989-345-8120
- Fax Number
- 989-345-8129
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- August 5, 2009
- Last Update Date
- December 5, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 640 Court Street
West Branch, MI 48661-0001 - City
- West Branch
- State
- Michigan
- Zip
- 48661-0001
- Phone Number
- 989-345-8120
- Fax Number
- 989-345-8129
Provider Business Mailing Address Details
- Address
- 640 Court Street
West Branch, MI 48661-0001 - City
- West Branch
- State
- MI
- Zip
- 48661-0001
- Phone Number
- 989-345-8120
- Fax Number
- 989-345-8129
License Information
- License Number (1)
- 25MA10206300
- License State (1)
- NJ
- Taxonomy (1)
- Family Medicine · 207Q00000X
- License Number (2)
- 4301102341
- License State (2)
- MI
- Taxonomy (2)
- Family Medicine · 207Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Family Medicine providers near West Branch, MI
View all Family Medicine providers in West Branch →Frequently Asked Questions
What is the NPI number of Himali S Wijesooriya, MD?
The NPI number of Himali S Wijesooriya, MD is 1720219926. It was assigned on August 5, 2009 and is currently active in the NPPES registry.
What is the specialty of Himali S Wijesooriya, MD?
Himali S Wijesooriya, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in NJ under license number 25MA10206300.
Where does Himali S Wijesooriya, MD practice?
The practice location is 640 Court Street, West Branch, MI 48661-0001. The office can be reached at 989-345-8120 (phone) or 989-345-8129 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1720219926 directly on the NPPES registry website.