| Chamalee N Weeratunge | |
|
598 N Union Ave Ste.350 New Braunfels TX 78130-4136 | |
| (830) 625-5103 | |
| (512) 828-7984 |
| Full Name | Chamalee N Weeratunge |
|---|---|
| Speciality | Internal Medicine |
| Location | 598 N Union Ave, New Braunfels, Texas |
| Authorized Official Name and Position | Chamalee N Weeratunge (PHYSICIAN/OWNER) |
| Authorized Official Contact | 2107719147 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chamalee N Weeratunge Po Box 1090 Manchaca TX 78652-1090 Ph: (210) 771-9147 | Chamalee N Weeratunge 598 N Union Ave Ste.350 New Braunfels TX 78130-4136 Ph: (830) 625-5103 |
| NPI Number | 1386899029 |
|---|---|
| Provider Enumeration Date | 11/21/2008 |
| Last Update Date | 01/08/2009 |
| Medicare PECOS PAC ID | 9931265253 |
|---|---|
| Medicare Enrollment ID | O20090311000301 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386899029 | NPI | - | NPPES |
| M3110 | Other | TX LICENSE | |
| P00356308 | Other | RR MEDICARE | |
| 182468201 | Medicaid | TX | |
| 0093NS | Other | TX | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | M3110 (Texas) | Primary |
| Provider Name | Chamalee Weeratunge |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1245274026 PECOS PAC ID: 1850395856 Enrollment ID: I20060906000144 |
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