(800) 868-1923

Most Relevant Information


Provider Data
NPI Number: 1003540220
Provider Name: GAYANA WANNIARACHCHI
Entity Type: Individual
Taxonomy Code: 213ES0103X
Specialty: Podiatrist
License Number: 135.001170
Most Important Dates
Enumeration Date: 07/13/2022
Last Updated: 07/13/2022
Provider Practice Location
215 E 1ST ST STE 111
DIXON
IL
610213198
Practice Location Phone/Fax
Phone: 8153455677
Fax:
Provider Mailing Location
215 E 1ST ST STE 111
DIXON
IL
610213198
Provider Mailing Phone/Fax
Phone:
Fax:
Suggested EMR
Podiatry EMR