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Contact Information

RAVINDU P GUNATILAKE, MD
5605 W EUGIE AVE STE 111
GLENDALE, AZ85304-1273
 Phone: 480-756-6000
 Fax: 855-636-8770
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
 

Maternal & Fetal Medicine

207VM0101X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for RAVINDU P GUNATILAKE · (Male)

NPI # 1659561553
Status Active
Credentials MD
Entity Individual
Enumeration date 07/26/2007
Last updated 04/09/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # 37439
  • AZ Medicaid 008871
Hospital affiliation(s) Not Available
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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