Provider Demographics
NPI:1932480571
Name:SIRIPALA, DUMINDA S (MD)
Entity Type:Individual
Prefix:
First Name:DUMINDA
Middle Name:S
Last Name:SIRIPALA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:312 CHESTNUT AVENUE
Mailing Address - Street 2:
Mailing Address - City:ALTOONA
Mailing Address - State:PA
Mailing Address - Zip Code:16601-4911
Mailing Address - Country:US
Mailing Address - Phone:814-946-3500
Mailing Address - Fax:814-946-5067
Practice Address - Street 1:312 CHESTNUT AVENUE
Practice Address - Street 2:
Practice Address - City:ALTOONA
Practice Address - State:PA
Practice Address - Zip Code:16601-4911
Practice Address - Country:US
Practice Address - Phone:814-946-3500
Practice Address - Fax:814-946-5067
Is Sole Proprietor?:No
Enumeration Date:2011-09-08
Last Update Date:2021-03-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD443916207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology