| Mahasen T Desilva | |
|
3210 Mesa Way Ste B Lawrence KS 66049-2346 | |
| (785) 838-4400 | |
| (785) 235-2246 |
| Full Name | Mahasen T Desilva |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 3210 Mesa Way Ste B, Lawrence, Kansas |
| Authorized Official Name and Position | Mahasen T Desilva (PHYSICIAN) |
| Authorized Official Contact | 7858384400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mahasen T Desilva 3210 Mesa Way Ste B Lawrence KS 66049-2346 Ph: (785) 838-4400 | Mahasen T Desilva 3210 Mesa Way Ste B Lawrence KS 66049-2346 Ph: (785) 838-4400 |
| NPI Number | 1932228319 |
|---|---|
| Provider Enumeration Date | 03/28/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932228319 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 0416655 (Kansas) | Primary |
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