Modini Chintha Liyanage (NPI# 1457450413, PAC ID# 3779476205) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1457450413 |
| PAC ID by PECOS | 3779476205 |
| Professional Enrollment ID | I20040206000570 |
| Full Name | Modini Chintha Liyanage |
| Organization Legal Name | WAYNE MEDICAL CENTER PLLC |
| Address |
1203 S Wayne Rd Westland MI 48188-4363 |
| Phone Number | 7347295780 |
| Gender | F |
| Credential | MD |
| Graduation Year | 1986 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 8729067640 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230002 | ST MARY MERCY HOSPITAL |
| 230142 | BEAUMONT HOSPITAL - WAYNE |
| 230020 | BEAUMONT HOSPITAL - DEARBORN |
| 230151 | BEAUMONT HOSPITAL - FARMINGTON HILLS |
| Address | Phone | Organization |
|---|---|---|
| 1203 S Wayne Rd, Westland, MI 48188-4363 | 7347295780 | WAYNE MEDICAL CENTER PLLC |
| Organization Legal Name | WAYNE MEDICAL CENTER PLLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rema P Menon | Physician Assistant | Wayne Medical Center Pllc | 1203 S Wayne Rd, Westland, MI 48188-4363 |
| Street Address |
1203 S WAYNE RD |
| City | WESTLAND |
| State | MI |
| Zip | 48188-4363 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rema P Menon | Physician Assistant | Wayne Medical Center Pllc | 1203 S Wayne Rd, Westland, MI 48188-4363 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven V Stryk | Allergy/immunology | 1600 S Canton Ctr Rd, Suite 360, Canton, MI 48188-0004 | |
| Dennis L Mccormack | Chiropractic | 1716 S Lilley Rd, Canton, MI 48188-1108 | |
| Lawrence M Morabito Ii | Chiropractic | 42287 Cherry Hill Rd, Suite D, Canton, MI 48188-1976 | |
| Spencer T Lavoy | Chiropractic | 42287 Cherry Hill Rd, Suite D, Canton, MI 48188-1976 | |
| Todd Beel | Emergency Medicine | St Joseph Mercy Hospital | 1600 S Canton Ctr Rd, Canton, MI 48188-1992 |
| Kathryn L Williams | Emergency Medicine | St Joseph Mercy Hospital | 1600 S Canton Ctr Rd, Canton, MI 48188-1992 |
| Roshani Jadia | Family Medicine | Iha Health Services Corporation | 1600 S Canton Ctr Rd, Suite 1200, Canton, MI 48188-1992 |
| Nicole R Knisley | Physician Assistant | St Joseph Mercy Hospital | 1600 S Canton Ctr Rd, Canton, MI 48188-1992 |
| Andrea M Ransom | Nurse Practitioner | St Joseph Mercy Hospital | 1600 S Canton Ctr Rd, Canton, MI 48188-1992 |
| Mark Mumm | Physician Assistant | St Joseph Mercy Hospital | 1600 S Canton Ctr Rd, Canton, MI 48188-1992 |
| Find all physicians in zip 48188 | |||
| City | WESTLAND |
| Zip Code | 48188 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | WESTLAND + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Modini Chintha Liyanage.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.