Individual provider · Type 1 NPI

Wathma Nethmini Rupasinghe Dissanayake Mudiyanselage

Student in an Organized Health Care Education/Training Program · Fresno, CA

NPI number 1568303949 Active

Practice location

5130 E Clinton Way
Fresno, CA 93727-2014

Mailing address

4166 N Warren Ave
Fresno, CA 93705-1957

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 1568303949

Wathma Nethmini Rupasinghe Dissanayake Mudiyanselage's National Provider Identifier is 1568303949, issued on Apr 2, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fresno, CA. The record was last updated on Apr 2, 2026.