Mrs. Chandima Jinani Herath Mudiyanselage, MD - Detroit, MI

Mrs. Chandima Jinani Herath Mudiyanselage, MD

Student in an Organized Health Care Education/Training Program in Detroit, Michigan

NPI 1992327969

Chandima Jinani Herath Mudiyanselage is a Student in an Organized Health Care Education/Training Program based in Detroit, MI. Chandima Jinani Herath Mudiyanselage practices in Detroit, MI and has the professional credentials of MD. The NPI Number for Chandima Jinani Herath Mudiyanselage is 1992327969 and holds a License No. (Michigan).

The current practice location address for Chandima Jinani Herath Mudiyanselage is 6071 W Outer Dr, Detroit, MI and can be reached out via phone at 313-966-3250.

Location: 6071 W Outer Dr, Detroit, MI, 48201

NPI Number

1992327969

Provider Name

Chandima Jinani Herath Mudiyanselage

Credential

Provider Entity Type

Individual

Gender

Female

Address

6071 W Outer Dr, Detroit, MI, 48201

Phone Number

313-966-3250

Fax Number

Provider Enumeration Date

05/13/2020

Last Update Date

03/10/2024

Address

6071 W Outer Dr

City

Detroit

State

Michigan

Zip

48235

Phone Number

313-966-3250

Fax Number

Address

6071 W Outer Dr

City

Detroit

State

Michigan

Zip

48235

Phone Number

313-966-3250

Fax Number

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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