DR. IMARA R DISSANAYAKE


Address: 5501 Old York Rd, Phila, PA 19144
Phone: 2154566970

DR. IMARA R DISSANAYAKE (NPI# 1295796969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295796969
Entity Type Individual
Full Name DR. IMARA R DISSANAYAKE
Credential MD
Practice Address 5501 Old York Rd
Phila
PA 19144
Mailing Address 101 East Olney Ave
Ste 400
Philadelphia
PA 19120
Practice Telephone 2154566970
Practice Fax Number 2154567154
Mailing Telephone 2154567000
Mailing Fax Number 2152542599
Enumeration Date 2006-03-31
Last Update Date 2011-12-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RN0300X Internal Medicine
Specialization: Nephrology
MD072898L PA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
PA 001866922 05

Office Location

Street Address 5501 OLD YORK RD
City PHILA
State PA
Zip Code 19144

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033483755 Ruchika Patel Internal Medicine 5501 Old York Rd, Korman Bldg Suite 103, Phila, PA 19141-3018 2012-02-27
1174834121 Bernadette M Sheeron Nurse Practitioner 5501 Old York Rd, Hackenburg 3rd Floor, Phila, PA 19141-3018 2010-06-24
1285884825 Daranee Chewaproug Internal Medicine 5501 Old York Rd, Levy Bldg Ground Floor, Phila, PA 19141-3018 2008-09-19
1801057898 Amanda Howell Emergency Medicine 5501 Old York Rd, Phila, PA 19141-3018 2008-06-23
1831350925 Arpita Shrivastava Emergency Medicine 5501 Old York Rd, Phila, PA 19141-3018 2008-06-20
1881877637 Allison Fike Physician Assistant 5501 Old York Rd, Phila, PA 19141-3018 2007-12-14
1417147661 Donna Pietrafesa Physician Assistant 5501 Old York Rd, Hackenberg Building, 3rd Floor, Phila, PA 19141-3018 2007-07-25
1699988477 Ahashta Johnson Student in an Organized Health Care Education/Training Program 5501 Old York Rd, Phila, PA 19141-3018 2007-05-08
1104048040 Hilary Lyons Oneill Psychiatry & Neurology 5501 Old York Rd, Phila, PA 19141-3018 2007-05-02
1538386941 Jilla Carpey Psychologist 5501 Old York Rd, Phila, PA 19141-3018 2007-04-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174053714 Claudia Palacio Social Worker 85 East Logan St., Philadelphia, PA 19144 2017-06-15
1265963391 Sunil Senior Care LLC Custodial Care Facility 220 E Chelten Ave, Philadelphia, PA 19144 2017-03-21
1114460276 Richard Mitchell Social Worker 6327 Burbridge, Philadelphia, PA 19144 2016-11-22
1417399312 Resources for Human Development Community/Behavioral Health 5536 Pulaski Avenue, Philadelphia, PA 19144 2013-07-22
1457601494 Maikel Griages Podiatrist 5555 Wissahickon Avenue, Apt. 216, Philadelphia, PA 19144 2012-09-18
1982977179 Hota Edward Liu Dentist 515 West Chelten Ave, Suite #1, Philadelphia, PA 19144 2012-02-17
1366724585 Rasidah Campbell Pharmacist 5627 Germantown Avenue, Walgreens Pharmacy, Philadelphia, PA 19144 2011-09-14
1326344755 Lakeva Hamilton-killion Case Management 633 W Ritenhouse Street, Apartment B702, Philadelphia, PA 19144 2011-02-02
1083924682 Merakey Philadelphia Community/Behavioral Health 235 - 237 School House Lane, Philadelphia, PA 19144 2010-10-15
1235440785 Faisal Javed Internal Medicine 633 W Rittenhouse Street, Apt B504, Philadelphia, PA 19144 2010-06-30
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Taxonomy Information

Taxonomy Code 207RN0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Nephrology

Taxonomy Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396782892 Yoon J Ahn Internal Medicine 2228 S Broad St, Phila, PA 19145-3923 2006-06-01
1285884825 Daranee Chewaproug Internal Medicine 5501 Old York Rd, Levy Bldg Ground Floor, Phila, PA 19141-3018 2008-09-19
1396786885 Eric D Newman Internal Medicine 2228 S Broad St, Phila, PA 19145-3923 2006-06-08
1649211129 Edward J Filippone Internal Medicine 2228 S Broad St, Phila, PA 19145-3923 2006-06-08
1356397830 Susan Bray Internal Medicine 219 N Broad St, 5th Floor, Phila, PA 19107-1519 2006-05-26

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1376156752 Syed Ali Aown Internal Medicine 1200 Cedar Crest Blvd Department of Education-office Of, Allentown, PA 18103 2020-08-26
1437790482 Pinnacle Health Medical Services Internal Medicine 205 S Front St Fl 8, Harrisburg, PA 17104-1619 2019-10-01
1255983615 Mujahed Maher Dauleh Internal Medicine 500 University Dr # H040, Hershey, PA 17033-2360 2019-07-15
1578124038 Ali Arif Internal Medicine 245 N 15th St Ste 6144, Philadelphia, PA 19102-1101 2019-06-25
1245893270 Nikita Igorevich Neverov Internal Medicine 501 Howard Ave Ste D204, Altoona, PA 16601-4814 2019-04-16
1831682707 Aravind Cherukuri Internal Medicine 3550 Terrace Street A919 Scafie Hall, Pittsburgh, PA 15261-0001 2018-06-14
1144731100 Muhammad Owais Hanif Internal Medicine 245 N. 15th St, Ms 437, 6th Floor Ncb, Philadelpha, PA 19102 2017-10-18
1285157917 Mhd Said Al Zein Internal Medicine 1001 E 2nd St Ste E, Coudersport, PA 16915-8161 2017-07-25
1073068284 Awais Ammar Internal Medicine 415 Limekiln Dr Unit A, Chambersburg, PA 17201-4510 2016-08-17
1710344171 Nina Stuccio Internal Medicine 410 S Front St Unit 215, Philadelphia, PA 19147-1708 2016-01-15
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Competitor

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City PHILA
Zip Code 19144

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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