Provider Demographics
NPI:1598085391
Name:BANDARANAYAKE, THILINIE DULANJALEE (MD)
Entity Type:Individual
Prefix:DR
First Name:THILINIE
Middle Name:DULANJALEE
Last Name:BANDARANAYAKE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:THILINIE
Other - Middle Name:DULANJALEE
Other - Last Name:SENEVIRATNE BANDARA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:728 ROBERT FROST DR
Mailing Address - Street 2:
Mailing Address - City:BRANFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06405-5837
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:300 CEDAR ST
Practice Address - Street 2:TAC S169
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06519-1612
Practice Address - Country:US
Practice Address - Phone:203-785-4140
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-03
Last Update Date:2015-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT54683207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease