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Contact Information

PRIYAN PERERA, MD
815 S VASSAULT ST
TACOMA, WA98465
 Phone: 253-444-3427
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for PRIYAN PERERA · (Male)

NPI Number 1629202627
Status Active
Credentials MD
Entity Individual
Enumeration date 05/06/2009
Last updated 07/28/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • WA License # MD60536623
  • WA Other MD60536623 STATE LICENSE
Hospital affiliation(s)
  • ST JOSEPH MEDICAL CENTER - (Acute Care)
    1717 SOUTH J STREET
    TACOMA, WA 98405
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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