Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MEVAN NANDAKA WIJETUNGA, MD
ActiveMEVAN NANDAKA WIJETUNGA, MD is a Clinical Cardiac Electrophysiology healthcare provider located in GRAND FORKS, North Dakota. NPI 1457308645 is currently active in the NPPES registry. Verify at CMS.
Clinical Cardiac Electrophysiology · GRAND FORKS, ND
Registration Details
- NPI Number
- 1457308645
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 31, 2006 (20.238732165154 yrs)
- Last Updated
- Dec 22, 2020
- Licenses
-
48798 (MN)48798 (MN)MDE33460 (DC)11101 (ND)48798 (MN)
Practice Information
- Address
-
1300 S COLUMBIA RDGRAND FORKS, ND, 58201Browse ND providers · Browse ZIP 58201
- Phone
- 7017806236
- Fax
- 7017806221
- Primary Specialty
-
Clinical Cardiac Electrophysiology
207RC0001X
- Additional Specialty
- Cardiovascular Disease
- Additional Specialty
- Cardiovascular Disease
- Additional Specialty
- Clinical Cardiac Electrophysiology
- Additional Specialty
- Clinical Cardiac Electrophysiology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.