Provider Demographics
NPI:1437136017
Name:GUNAWARDANA, ASINI ENOKA (MD)
Entity Type:Individual
Prefix:DR
First Name:ASINI
Middle Name:ENOKA
Last Name:GUNAWARDANA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MISS
Other - First Name:ASINI
Other - Middle Name:ENOKA
Other - Last Name:DE SILVA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:12 SAGE LN
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:CT
Mailing Address - Zip Code:06468-3250
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:646 GEORGE ST
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06511-5322
Practice Address - Country:US
Practice Address - Phone:203-789-4040
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-12-27
Last Update Date:2023-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL97172084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry