Individual provider · Type 1 NPI

Imara R. Dissanayake, MD

Nephrology Physician · Phila, PA

NPI number 1295796969 Active

Practice location

5501 Old York Rd
Phila, PA 19144

Fax (215) 456-7154

Mailing address

101 East Olney Ave, Ste 400
Philadelphia, PA 19120

Specialties and licenses

TaxonomyCodeLicense
Nephrology Physician Primary 207RN0300XMD072898L (PA)

Nephrology Physician: An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

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About NPI 1295796969

Imara R. Dissanayake, MD's National Provider Identifier is 1295796969, issued on Mar 31, 2006. The primary taxonomy on file is Nephrology Physician (207RN0300X), and the practice location is in Phila, PA. The record was last updated on Dec 9, 2011.