Individual provider · Type 1 NPI

Shantha K. Nallaperuma

Student in an Organized Health Care Education/Training Program · Burke, VA

NPI number 1083366884 Active

Practice location

5534 Crossrail Ct
Burke, VA 22015-1810

Call (571) 471-8800 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone 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 1083366884

Shantha K. Nallaperuma's National Provider Identifier is 1083366884, issued on Jan 23, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Burke, VA. The record was last updated on Jan 23, 2022.