Provider Demographics
NPI:1245870278
Name:DILANGANI B RATNAYAKE MD INC
Entity type:Organization
Organization Name:DILANGANI B RATNAYAKE MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DILANGANI
Authorized Official - Middle Name:B
Authorized Official - Last Name:RATNAYAKE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:760-895-4280
Mailing Address - Street 1:73733 FRED WARING DR STE 205
Mailing Address - Street 2:
Mailing Address - City:PALM DESERT
Mailing Address - State:CA
Mailing Address - Zip Code:92260-2591
Mailing Address - Country:US
Mailing Address - Phone:760-895-4280
Mailing Address - Fax:760-673-7985
Practice Address - Street 1:73733 FRED WARING DR STE 205
Practice Address - Street 2:
Practice Address - City:PALM DESERT
Practice Address - State:CA
Practice Address - Zip Code:92260-2591
Practice Address - Country:US
Practice Address - Phone:760-895-4280
Practice Address - Fax:760-673-7985
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-07
Last Update Date:2020-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPain