| Chaminda Fernando Do, Pllc | |
|
20 Galleria Dr San Antonio TX 78257-1217 | |
| (240) 498-7622 | |
| Not Available |
| Full Name | Chaminda Fernando Do, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 20 Galleria Dr, San Antonio, Texas |
| Authorized Official Name and Position | Chaminda Fernando (OWNER) |
| Authorized Official Contact | 2404987622 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chaminda Fernando Do, Pllc 20 Galleria Dr San Antonio TX 78257-1217 Ph: () - | Chaminda Fernando Do, Pllc 20 Galleria Dr San Antonio TX 78257-1217 Ph: (240) 498-7622 |
| NPI Number | 1538755723 |
|---|---|
| Provider Enumeration Date | 12/12/2020 |
| Last Update Date | 12/12/2020 |
| Medicare PECOS PAC ID | 7810397890 |
|---|---|
| Medicare Enrollment ID | O20210614000048 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538755723 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Chaminda Fernando |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225359623 PECOS PAC ID: 0042453649 Enrollment ID: I20130829000666 |
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