Harsha P Jayatilake MD PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

HARSHA P JAYATILAKE MD PLLC

Practice address

37663 Pembroke Ave
Livonia, MI 48152-1050

Phone

(734) 591-1300

Fax

(734) 591-1344

NPI assigned

May 17, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Harsha P Jayatilake, M.D.NPI 1912958299

Title

President

Phone

(734) 591-1300

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Harsha Perera Jayatilake, M.D.

  • Family Medicine Physician
  • Livonia, MI
  • NPI 1912958299
  NPD (past) Authorized official
• Prasani Nilwala Jayatilake, M.D.

  • Family Medicine Physician
  • Detroit, MI
  • NPI 1548211832
  NPD (past)
• Satish R Khanzode, M.D.

  • Family Medicine Physician
  • Detroit, MI
  • NPI 1275505695
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114134020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 32588",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482320588",
            "telephone_number": "734-591-1300",
            "fax_number": "734-591-1344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37663 PEMBROKE AVE",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481521050",
            "telephone_number": "734-591-1300",
            "fax_number": "734-591-1344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARSHA P JAYATILAKE MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JAYATILAKE",
        "authorized_official_first_name": "HARSHA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-591-1300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4383133",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eric Harrison, D.D.S.
• Morgan Harrison
• Harry L. Joboulian DDS PC
• Kristina Harry
• Taylor Harry, DPT
• Lisa Harston-Ledoux, M.D.
• Kianna Leigh Hart, MSACN
• Ylona Hartford, ND
• Janet Frances Hartlep, R.PH.
• Amanda Hartmann

• Specialist in Livonia, MI
• Providers in Livonia, MI by specialty
• Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.