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
| Taxonomy | Code | License |
|---|---|---|
| Nephrology Physician Primary | 207RN0300X | MD072898L (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.