Provider Demographics
NPI:1295268779
Name:GUNASINGHA BAILEY, RATHNAYAKA MUDIYANSE KALPANEE DHANUSHIKA (MD)
Entity type:Individual
Prefix:
First Name:RATHNAYAKA MUDIYANSE
Middle Name:KALPANEE DHANUSHIKA
Last Name:GUNASINGHA BAILEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:RATHNAYAKA MUDIYANSE
Other - Middle Name:KALPANEE DHANUSHIKA
Other - Last Name:GUNASINGHA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:2817 ROCK MERRITT AVE
Mailing Address - Street 2:
Mailing Address - City:FORT BRAGG
Mailing Address - State:NC
Mailing Address - Zip Code:28310-0001
Mailing Address - Country:US
Mailing Address - Phone:225-773-2703
Mailing Address - Fax:
Practice Address - Street 1:1638 OWEN DR
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28304-3424
Practice Address - Country:US
Practice Address - Phone:910-615-4000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-11
Last Update Date:2025-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2024-02552208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery