Individual provider · NPI-1
Gemini Ediriweera
Physician Assistant · Smyrna, DE
NPI number1225955180
StatusActive
Last updated in NPPESOct 24, 2026
Details
- NPI
- 1225955180
- Entity type
- Individual (NPI-1)
- Name
- Gemini Ediriweera
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 1, 2026
- Certification date
- Oct 24, 2026
- Last updated
- Oct 24, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
Other names
- Gem Ediriweera (Other Name)
Practice location
100 S Main St Ste 104Smyrna, DE 19977-1478
Phone 302-486-0176
Mailing address
195 Moria PlAston, PA 19014-1262
Other practice locations
200 Banning St Ste 340&360
Dover, DE 19904-3485
Dover, DE 19904-3485
Phone 302-734-7676
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