Basic Information
| Provider Information | |||||||||
| NPI: | 1750721205 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | RANASINGHE | ||||||||
| FirstName: | PRASANGIKA | ||||||||
| MiddleName: | KAVINDI | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 5074 | ||||||||
| Address2: | |||||||||
| City: | SIOUX FALLS | ||||||||
| State: | SD | ||||||||
| PostalCode: | 571175074 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | |||||||||
| FaxNumber: | 3074326634 | ||||||||
| Practice Location | |||||||||
| Address1: | 5225 23RD AVE S | ||||||||
| Address2: | |||||||||
| City: | FARGO | ||||||||
| State: | ND | ||||||||
| PostalCode: | 581047927 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7014172575 | ||||||||
| FaxNumber: | 7014172535 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/28/2013 | ||||||||
| LastUpdateDate: | 07/23/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 07/23/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 10724A | WY | N | Allopathic & Osteopathic Physicians | Internal Medicine | 208M00000X | 10724A | WY | N | Allopathic & Osteopathic Physicians | Hospitalist | 208M00000X | PT17558 | ND | Y | Allopathic & Osteopathic Physicians | Hospitalist |
No ID Information.