Individual provider · Type 1 NPI
Pushpamal Nayananga Samararatne, MD
Student in an Organized Health Care Education/Training Program · Marquette, MI
Practice location
1414 W Fair Ave, Suite 24
Marquette, MI 49855-2675
Mailing address
4602 Dept
Carol Stream, IL 60122-4602
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: 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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About NPI 1013279512
Pushpamal Nayananga Samararatne, MD's National Provider Identifier is 1013279512, issued on Jun 11, 2012. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Marquette, MI. The record was last updated on Jun 11, 2012.