Provider Demographics
NPI:1659696367
Name:RATNAYAKE, CHANDIMA RUWAN (MD)
Entity Type:Individual
Prefix:DR
First Name:CHANDIMA
Middle Name:RUWAN
Last Name:RATNAYAKE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:39000 BOB HOPE DR
Mailing Address - Street 2:
Mailing Address - City:RANCHO MIRAGE
Mailing Address - State:CA
Mailing Address - Zip Code:92270-3221
Mailing Address - Country:US
Mailing Address - Phone:760-340-3911
Mailing Address - Fax:760-773-1239
Practice Address - Street 1:67555 E PALM CANYON DR STE C112
Practice Address - Street 2:
Practice Address - City:CATHEDRAL CITY
Practice Address - State:CA
Practice Address - Zip Code:92234-5412
Practice Address - Country:US
Practice Address - Phone:760-773-1680
Practice Address - Fax:760-328-9379
Is Sole Proprietor?:No
Enumeration Date:2010-04-06
Last Update Date:2023-03-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA111827207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine