Provider Demographics
NPI:1770674293
Name:RAJAPAKSA, TRIKANTE NALINI (MD)
Entity Type:Individual
Prefix:DR
First Name:TRIKANTE
Middle Name:NALINI
Last Name:RAJAPAKSA
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 1:1965 BROADWAY
Mailing Address - Street 2:APARTMENT 24K
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-5928
Mailing Address - Country:US
Mailing Address - Phone:212-579-0593
Mailing Address - Fax:212-579-0539
Practice Address - Street 1:3117 KINGSBRIDGE AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10463-3943
Practice Address - Country:US
Practice Address - Phone:718-543-5514
Practice Address - Fax:718-543-8539
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY122456207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00230319Medicaid
NYWS1234OtherOXFORD
NY68F051Medicare ID - Type Unspecified
NY00230319Medicaid