1730075565 NPI number — DONA PAULU ARACHCHIGE NETHMIE DEVIMINI CHANDRARATHNA M.D

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1730075565 NPI number — DONA PAULU ARACHCHIGE NETHMIE DEVIMINI CHANDRARATHNA M.D

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CHANDRARATHNA
Provider First Name:
DONA PAULU ARACHCHIGE NETHMIE
Provider Middle Name:
DEVIMINI
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.D
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1730075565
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/17/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
422/8, MULDALIGE MAWATHA
Provider Second Line Business Mailing Address:
IHALAKARAGAHAMUNA
Provider Business Mailing Address City Name:
KADWATHA
Provider Business Mailing Address State Name:
WESTERN PROVENCE
Provider Business Mailing Address Postal Code:
11850
Provider Business Mailing Address Country Code:
LK
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4100, JOHNSON ROAD TRINITY HEALTH SYSTEM
Provider Second Line Business Practice Location Address:
INTERNAL MEDICINE RESIDENCY PROGRAM
Provider Business Practice Location Address City Name:
STUEBENVILLE
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43952
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
740-264-8070
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/17/2025

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 390200000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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