Maple Lawn Infusion Center

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

D0047119 Issued in MD

Legal business name

MAPLE LAWN INFUSION CENTER

Practice address

7625 Maple Lawn Blvd
Suite 260
Fulton, MD 20759-2565

Phone

(301) 490-3700

Fax

(301) 490-3873

NPI assigned

Oct 2, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Ruwani D Gunawardane, MD

Title

Owner/Medical Director

Phone

(301) 490-3700

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1443744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443744000000",
    "number": "1801266838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7625 MAPLE LAWN BLVD",
            "address_2": "SUITE 260",
            "city": "FULTON",
            "state": "MD",
            "postal_code": "207592565",
            "telephone_number": "301-490-3700",
            "fax_number": "301-490-3873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7625 MAPLE LAWN BLVD",
            "address_2": "SUITE 260",
            "city": "FULTON",
            "state": "MD",
            "postal_code": "207592565",
            "telephone_number": "301-490-3700",
            "fax_number": "301-490-3873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAPLE LAWN INFUSION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-02",
        "last_updated": "2015-10-02",
        "status": "A",
        "authorized_official_last_name": "GUNAWARDANE",
        "authorized_official_first_name": "RUWANI",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "301-490-3700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MD",
            "license": "D0047119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Storai Manandoi
• Roy Mangwendeza
• Deveren Juvonne Manley II
• Maple Lawn Dental Care, LLC
• Maple Lawn Family Dentistry
• Maple Lawn Oral & Maxillofacial Surgery
• Maple Lawn Surgery Center
• Madelene Margetts
• Corrinah Martin
• Mayely Martinez

• Neurology Physician in Fulton, MD
• Providers in Fulton, MD by specialty
• Neurology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2015; 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.