Provider Demographics
NPI:1700048543
Name:JAYASEKERA, RASIKA PRIYA (MD)
Entity Type:Individual
Prefix:
First Name:RASIKA
Middle Name:PRIYA
Last Name:JAYASEKERA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1 VETERANS DR
Mailing Address - Street 2:VA MEDICAL CENTER (116A)
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55417-2309
Mailing Address - Country:US
Mailing Address - Phone:612-467-1664
Mailing Address - Fax:612-725-2292
Practice Address - Street 1:1 VETERANS DR
Practice Address - Street 2:VA MEDICAL CENTER (116A)
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55417-2309
Practice Address - Country:US
Practice Address - Phone:612-467-1664
Practice Address - Fax:612-725-2292
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-01
Last Update Date:2014-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0489332084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry