RAJITHA L PREMARATNE (NPI# 1497965594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497965594 |
| Entity Type | Individual |
| Full Name | RAJITHA L PREMARATNE |
| Credential | M.D. |
| Practice Address |
1980 Mesquite Ave Suite 103 Lake Havasu City AZ 86403-7713 |
| Mailing Address |
1770 Park Terrace Ave Lake Havasu City AZ 86404-1055 |
| Practice Telephone | 9286804255 |
| Practice Fax Number | 9286804256 |
| Mailing Telephone | 9286803861 |
| Mailing Fax Number | 9286804256 |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2012-11-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | MO# 2006014659 | MO | Allopathic & Osteopathic Physicians |
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
46348 | AZ | Allopathic & Osteopathic Physicians |
| Street Address |
1980 MESQUITE AVE SUITE 103 |
| City | LAKE HAVASU CITY |
| State | AZ |
| Zip Code | 86403-7713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790103711 | Colleen Savage | Registered Nurse | 1980 Mesquite Ave, Lake Havasu City, AZ 86403-7713 | 2014-04-07 |
| 1023371622 | Rheumatology & Arthritis Consultants, Pllc | Internal Medicine | 1980 Mesquite Ave, Suite 103, Lake Havasu City, AZ 86403-7713 | 2012-06-19 |
| 1356535405 | Western Arizona Foot & Ankle | Podiatrist | 1980 Mesquite Ave, Suite 103, Lake Havasu City, AZ 86403-7713 | 2007-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104479039 | Liska's Apothecary Shop, Inc. | Assisted Living Facility | 1840 Mesquite Ave., Ste. E, Lake Havasu City, AZ 86403 | 2019-07-19 |
| 1275033227 | Ayad Costy | Pharmacist | 75 North Lake Havasu City, Lake Havasu City, AZ 86403 | 2018-02-16 |
| 1942727250 | Ideal Health Care, L.L.C. | Prosthetic/Orthotic Supplier | 1675 Mesquite Ave Ste A, Lake Havasu City, AZ 86403 | 2017-08-28 |
| 1063965036 | Cerner Health Connections, Inc | Clinic/Center | 89 Civic Center Blvd, Lake Havasu City, AZ 86403 | 2016-07-26 |
| 1447643358 | Lundin Dental PC | Durable Medical Equipment & Medical Supplies | 1741 Mesquite Avenue Ste B 100, Lake Havasu City, AZ 86403 | 2015-03-17 |
| 1912301425 | Arizona Havasu Bdm Pak LLC | Dentist | 1799 North Kiowa Blvd, Unit 109, Lake Havasu, AZ 86403 | 2014-10-13 |
| 1386047850 | Emily E Vona | Nurse Practitioner | 84 Acoma Blvd N Ste 104, Lake Havasu City, AZ 86403 | 2014-09-29 |
| 1750700589 | Thomas Wennergren | Pharmacist | 25 S Lake Havasu Ave, Lake Havasu City, AZ 86403 | 2014-04-09 |
| 1285997460 | Jamie L Lemire | Pharmacist | 1980 Mcculloch Blvd, Lake Havasu City, AZ 86403 | 2012-06-21 |
| 1053694448 | Goodwill of Northern Arizona | Exclusive Provider Organization | 1990 Mcculloch Blvd North, Lake Havasu City, AZ 86403 | 2011-09-22 |
| Find all providers in zip 86403 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023633195 | Flow Rheumatology, Pllc | Internal Medicine | 9941 N 95th St Ste E101, Scottsdale, AZ 85258-4609 | 2020-06-14 |
| 1053898692 | Honorhealth Ambulatory | Internal Medicine | 10900 N Scottsdale Rd Ste 603, Scottsdale, AZ 85254-5252 | 2018-07-26 |
| 1780047985 | Arthritis Consultants PC | Internal Medicine | 12665 W Smokey Dr, Suite 140, Surprise, AZ 85378-3703 | 2016-04-04 |
| 1174939623 | Jawad Bilal | Internal Medicine | 1501 N Campbell Ave Rm 8339, Tucson, AZ 85724 | 2014-07-05 |
| 1043651540 | Rachel Sara Herrin | Internal Medicine | 12665 W. Smokey Dr., #140, Surprise, AZ 85378 | 2013-07-12 |
| 1902154859 | Shubha Kollampare | Internal Medicine | 1501 N Campbell Ave Rm 8303, Tucson, AZ 85724-5093 | 2012-08-27 |
| 1689943318 | Manfred Albrecht | Internal Medicine | 6928 N. Green Mt Place, Tucson, AZ 85718-1315 | 2011-12-27 |
| 1316263825 | Saguaro Specialty Physicians, LLC | Internal Medicine | 4881 E Grant, Suite 201, Tucson, AZ 85712 | 2010-04-09 |
| 1881823219 | Sanford Harold Roth | Internal Medicine | 6831 N 58th Pl, Paradise Valley, AZ 85253-3410 | 2009-07-07 |
| 1275774937 | Dominick George Sudano | Internal Medicine | 1501 N Campbell Ave Rm 6336, Tucson, AZ 85724-0001 | 2009-03-10 |
| Find all providers with the same taxonomy | ||||
| City | LAKE HAVASU CITY |
| Zip Code | 86403 |
Please comment or provide details below to improve the information on RAJITHA L PREMARATNE.
| 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.