Priyantha Nalinda Wijewardane, M.D. Valid NPI

Individual provider · Internal Medicine Physician · Little Rock, AR

NPI

1104811108

Type

Individual (Type 1)

Primary specialty

Internal Medicine Physician (Internal Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207R00000X

License number

E-1124 (AR)

Sex

Male

Sole proprietor

No

Enumerated

2005-09-15

Last updated

2009-12-23