Himasa J. Wijetunge, MD
Physical Medicine & Rehabilitation in Salt Lake City, UT. Individual provider (NPI-1).
NPI number1982307005
StatusActive
Last updated in NPPESSep 27, 2024
Details
- NPI
- 1982307005
- Entity type
- Individual (NPI-1)
- Name
- Himasa J. Wijetunge
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 27, 2023
- Certification date
- Sep 27, 2024
- Last updated
- Sep 27, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 14168072-1205 | UT | Yes |
Practice location
85 N Medical DrSalt Lake City, UT 84112-1100
Phone 801-581-7985
Mailing address
85 N Medical DrSalt Lake City, UT 84112-1100
Phone 801-581-7985
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All 99 Physical Medicine & Rehabilitation Physician providers in Salt Lake City · All 24,510 providers in Salt Lake City
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