Ruchira Prabha Gunawardena

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

14507 Issued in MD

Practice address

5632 The Alameda
Baltimore, MD 21239-2737

Phone

(410) 435-0008

Fax

(410) 435-0444

NPI assigned

Sep 24, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1253750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560384000000",
    "number": "1831423722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 E BIJOU ST STE 1002221E",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809098008",
            "telephone_number": "719-576-1850",
            "fax_number": "719-955-3470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5632 THE ALAMEDA",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212392737",
            "telephone_number": "410-435-0008",
            "fax_number": "410-435-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNAWARDENA",
        "first_name": "RUCHIRA",
        "middle_name": "PRABHA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-24",
        "last_updated": "2019-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "14507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "029566300",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "093365800",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madison Elise Gump, PA-C
• Joyce Anne Gun, CRNP, RN
• Zubeyir Hasan Gun, M.D.
• Cemile Gunalp
• Claudia Lilian Gunawan
• Chara Gunawardhana, PHARMD.
• Meral Gunay-Aygun
• Venkat Pradeep Gundareddy, M.D.
• Norma V Gungon, M.D.
• Tayanna Gunn

• General Practice Dentistry in Baltimore, MD
• Providers in Baltimore, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; 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.