Active NPI
Chathuri Senanayake Dodam Mullage, MD
- Student in an Organized Health Care Education/Training Program
- Modesto, CA
National Provider Identifier
1093651598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 1400 Florida Ave Ste No102
Modesto, CA 95350-4422 - Phone
- (209) 573-6180
- NPI assigned
- Apr 27, 2026
- Last updated
- Apr 27, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | Primary |
Addresses
Primary practice location
1400 Florida Ave Ste No102
Modesto, CA 95350-4422
Mailing address
1400 Florida Ave Ste No102
Modesto, CA 95350-4422
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1777248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777248000000",
"number": "1093651598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 FLORIDA AVE STE NO102",
"city": "MODESTO",
"state": "CA",
"postal_code": "953504422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 FLORIDA AVE STE NO102",
"city": "MODESTO",
"state": "CA",
"postal_code": "953504422",
"telephone_number": "209-573-6180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DODAM MULLAGE",
"first_name": "CHATHURI",
"middle_name": "SENANAYAKE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-04-27",
"last_updated": "2026-04-27",
"certification_date": "2026-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Modesto, CA
- Doctors Medical Center of Modesto, Inc (Doctors Medical Center of Modesto)
- Doctors Medical Center of Modesto, Inc. (Doctors Medical Center of Modesto)
- Doctors Medical Center of Modesto, Inc. (Doctors Behavioral Health Center)
- Doctors Medical Center of Modesto, Inc. (DMC Professional Billing)
- Doctors Primary Care of Modesto, Inc. (Doctors Primary Care Center)
- Jeffrey Alan Doelling, MD
- Gerald Benjamin Doersam, MD
- Rupali Dogra
- Mariah Lynn Dolin
- Brian E. Dolnick, DO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.