Provider Demographics
NPI:1942443353
Name:SAMARASEKERA, SAGARIKA NISHAMANI (MD)
Entity Type:Individual
Prefix:DR
First Name:SAGARIKA
Middle Name:NISHAMANI
Last Name:SAMARASEKERA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:SAGARIKA
Other - Middle Name:NISHAMANI
Other - Last Name:KUDALUGODAARACHCHI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MBBS
Mailing Address - Street 1:37762 N DOOVYS ST
Mailing Address - Street 2:
Mailing Address - City:AVON
Mailing Address - State:OH
Mailing Address - Zip Code:44011-1122
Mailing Address - Country:US
Mailing Address - Phone:440-932-1322
Mailing Address - Fax:
Practice Address - Street 1:2500 METROHEALTH DR
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44109-1900
Practice Address - Country:US
Practice Address - Phone:216-778-7800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-15
Last Update Date:2009-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program