Mohin Tissa Samaraweera in Plainfield - Family Medicine
Mohin Tissa Samaraweera - NPI 1295896173
Mohin Tissa Samaraweera is a Family Medicine in Plainfield, Illinois. Mohin Tissa Samaraweera practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Mohin Tissa Samaraweera is 1295896173. The last update date is 2009-12-22.
Mohin Tissa Samaraweera's current location address is 24016 W Main Street, Plainfield, Illinois. You can contact this provider via phone number 8154367303 and fax number 8156097980. The mailing address for Mohin Tissa Samaraweera is 24016 W Main Street, Plainfield, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mohin Tissa Samaraweera |
|---|---|
| Address | 24016 W Main Street, Plainfield, Illinois |
| Phone Number | 8154367303 |
| Fax Number | 8156097980 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1295896173 |
|---|---|
| Provider Enumeration Date | 2006-12-13 |
| Last Updated Date | 2009-12-22 |
Provider Mailing Address Detail
| Address | 24016 W Main Street |
|---|---|
| City | Plainfield |
| State | Illinois (IL) |
| Post Code | 60544 |
| Phone Number | 8154367303 |
| Fax Number | 8156097980 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 36048836 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 03L048836 | IL | -- | |
| 9900490 | IL | BC BS |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Mohin Tissa Samaraweera by the Centers for Medicare & Medicaid Services?
The Mohin Tissa Samaraweera has been issued the NPI (National Provider Identifier) 1295896173, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Mohin Tissa Samaraweera?
The Mohin Tissa Samaraweera is physically situated at 24016 W Main Street, in the city of Plainfield, state of IL, with the postal code 60544.
What is the Mohin Tissa Samaraweera's area of specialization and corresponding taxonomy classification?
The Mohin Tissa Samaraweera's specialty field is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1295896173 to Mohin Tissa Samaraweera?
The Mohin Tissa Samaraweera received its 1295896173 assignment from the Centers for Medicare & Medicaid Services on 2006-12-13.
When was the information pertaining to Mohin Tissa Samaraweera most recently updated or revised?
The details related to Mohin Tissa Samaraweera, including its address, specialty, and other relevant information, were last updated or revised on 2009-12-22.
NPI Number: 1881683084
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