Provider Demographics
NPI:1558326835
Name:AMARASINGHE, AMARA SHANTHI
Entity Type:Individual
Prefix:
First Name:AMARA
Middle Name:SHANTHI
Last Name:AMARASINGHE
Suffix:
Gender:F
Credentials:
Other - Prefix:DR
Other - First Name:AMARA
Other - Middle Name:SHANTHI
Other - Last Name:RANASINGHE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:8601 UNIVERSITY EAST DRIVE,
Mailing Address - Street 2:DEP OF VETERANS AFFAIRS
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28213-1647
Mailing Address - Country:US
Mailing Address - Phone:704-597-3500
Mailing Address - Fax:704-597-3579
Practice Address - Street 1:8601 UNIVERSITY EAST DRIVE,
Practice Address - Street 2:DEP OF VETERANS AFFAIRS
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28213-1647
Practice Address - Country:US
Practice Address - Phone:704-597-3500
Practice Address - Fax:704-597-3579
Is Sole Proprietor?:No
Enumeration Date:2006-04-19
Last Update Date:2013-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9700843207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine