Provider Demographics
NPI:1942548375
Name:KALUARACHCHI, DINUSHAN CHATHURANGA (MD)
Entity Type:Individual
Prefix:
First Name:DINUSHAN
Middle Name:CHATHURANGA
Last Name:KALUARACHCHI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:7974 UW HEALTH CT
Mailing Address - Street 2:
Mailing Address - City:MIDDLETON
Mailing Address - State:WI
Mailing Address - Zip Code:53562-5531
Mailing Address - Country:US
Mailing Address - Phone:608-829-5485
Mailing Address - Fax:608-833-0999
Practice Address - Street 1:600 HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53792-0001
Practice Address - Country:US
Practice Address - Phone:608-890-9600
Practice Address - Fax:608-890-7181
Is Sole Proprietor?:No
Enumeration Date:2013-01-18
Last Update Date:2021-01-11
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Provider Licenses
StateLicense IDTaxonomies
WI64834-202080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine