Provider Demographics
NPI:1730649898
Name:RATHNAYAKE, DASUNI PAMODA THATHSARANI (MD)
Entity Type:Individual
Prefix:DR
First Name:DASUNI
Middle Name:PAMODA THATHSARANI
Last Name:RATHNAYAKE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9249 ASPEN CREEK CT
Mailing Address - Street 2:
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80129-1523
Mailing Address - Country:US
Mailing Address - Phone:720-804-6956
Mailing Address - Fax:
Practice Address - Street 1:1707 COLE BLVD STE 100
Practice Address - Street 2:
Practice Address - City:GOLDEN
Practice Address - State:CO
Practice Address - Zip Code:80401-3219
Practice Address - Country:US
Practice Address - Phone:303-639-9378
Practice Address - Fax:303-763-5495
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-23
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY318252208M00000X
390200000X
CODR.0069447208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program