Individual provider · Type 1 NPI

Sasika Priyadarshani Weerakoon Mudiyanselage, MD

Student in an Organized Health Care Education/Training Program · Bangor, ME

NPI number 1992678908 Active

Practice location

895 Union St Ste 12
Bangor, ME 04401-3054

Fax (207) 947-9579

Mailing address

43 Whiting Hill Rd Ste 300
Brewer, ME 04412-1006

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XEC251110 (ME)

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 1992678908

Sasika Priyadarshani Weerakoon Mudiyanselage, MD's National Provider Identifier is 1992678908, issued on Sep 25, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Bangor, ME. The record was last updated on Sep 25, 2025.