Dr. Tilak C Gooneratne
MD | Pediatric Adolescent Medicine | Male
Dr. Tilak C Gooneratne, MD is a West Hartford, Connecticut based Pediatric doctor with medical specialization in
Pediatric Adolescent Medicine.
Current practice location of Dr. Tilak C Gooneratne is
345 N Main St, Ste 248, West Hartford, Connecticut - 06117. He can be contacted on phone at
860-231-8453 and fax number 860-523-4061.
Dr. Tilak C Gooneratne is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Tilak C Gooneratne is
1265400329 which was assigned by NPPES on 14 Mar, 2006 and it was last updated on 08 Jul, 2007.
Dr. Tilak C Gooneratne license number is
023723 for Pediatrics Adolescent Medicine (2080A0000X) in Connecticut.
Dr. Tilak C Gooneratne specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Dr. Tilak C Gooneratne basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Dr. Tilak C Gooneratne |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Dr. Tilak C Gooneratne address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 345 N Main St, Ste 248
West Hartford, CT, 06117
United States |
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| Phone Number : | 860-231-8453 |
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| Fax Number : | 860-523-4061 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1265400329 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 14 Mar, 2006 |
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| Last Updated On : | 08 Jul, 2007 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Tilak C Gooneratne are as mentioned. Primary taxonomy code for Dr. Tilak C Gooneratne, MD is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | 023723 | CT |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Tilak C Gooneratne such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 021749 | Other | CT | CONNECTICARE |
| 010023723CT02 | Other | CT | ANTHEM BCBS |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 345 N Main St, Ste 248
West Hartford, CT, 06117
United States |
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| Phone Number : | 860-231-8453 |
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| Fax Number : | 860-523-4061 |
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Business Location:
Patients can refer following map for directions to
Dr. Tilak C Gooneratne practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.