Provider Demographics
NPI:1326209404
Name:WICKRAMASINGHE, SASRUTHA RASIKA (MD, PHD,)
Entity Type:Individual
Prefix:DR
First Name:SASRUTHA
Middle Name:RASIKA
Last Name:WICKRAMASINGHE
Suffix:
Gender:M
Credentials:MD, PHD,
Other - Prefix:DR
Other - First Name:RASI
Other - Middle Name:
Other - Last Name:WICKRAMASINGHE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD, PHD
Mailing Address - Street 1:827 OVERDELL DR
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-2162
Mailing Address - Country:US
Mailing Address - Phone:346-800-3690
Mailing Address - Fax:
Practice Address - Street 1:6400 FANNIN ST
Practice Address - Street 2:SUITE 2350
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-1521
Practice Address - Country:US
Practice Address - Phone:281-344-0865
Practice Address - Fax:281-347-0873
Is Sole Proprietor?:No
Enumeration Date:2008-06-20
Last Update Date:2016-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ7811207RC0000X, 207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology