Provider Demographics
NPI:1578561916
Name:KANNANGARA, YOGESWARY (MD)
Entity Type:Individual
Prefix:DR
First Name:YOGESWARY
Middle Name:
Last Name:KANNANGARA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2775 SCHOENERSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18017-7307
Mailing Address - Country:US
Mailing Address - Phone:610-861-8080
Mailing Address - Fax:610-807-0366
Practice Address - Street 1:2775 SCHOENERSVILLE RD
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18017-7307
Practice Address - Country:US
Practice Address - Phone:610-861-8080
Practice Address - Fax:610-807-0366
Is Sole Proprietor?:No
Enumeration Date:2005-07-11
Last Update Date:2008-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD018201E207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
2170556OtherMAMSI
1919794OtherUNITED HEALTHCARE
P3001232OtherOXFORD HEALTH PLANS
137185OtherHIGHMARK BLUE SHIELD
0050729000OtherINDEPENDENCE BLUE CROSS
9954737OtherCIGNA HEALTHCARE
50050242OtherKEYSTONE HEALTH CENTRAL
0050729000OtherKEYSTONE HEALTH EAST
PA006499530006Medicaid
85215OtherGEISINGER HEALTH PLAN
0050729000OtherAMERIHEALTH
50050242OtherCAPITAL BLUE CROSS
1919794OtherUNITED HEALTHCARE
PAB38492Medicare UPIN