Provider Demographics
NPI:1487694725
Name:SOMARATNE, RANSI M (MD)
Entity type:Individual
Prefix:
First Name:RANSI
Middle Name:M
Last Name:SOMARATNE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:25405 HANCOCK AVE
Mailing Address - Street 2:SUITE 216
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92562-5982
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:25405 HANCOCK AVE
Practice Address - Street 2:SUITE 216
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92562-5982
Practice Address - Country:US
Practice Address - Phone:951-698-4609
Practice Address - Fax:951-698-4605
Is Sole Proprietor?:No
Enumeration Date:2006-06-07
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG080501207RC0000X, 174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Not Answered174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG91603Medicare UPIN