IndividualActive
Chandima Herath Mudiyanselage, M.D.
NPI 1992327969 · Internal Medicine Physician · Powell, TN
Provider details
- NPI number
- 1992327969
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 70459 (TN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
7565 Dannaher Dr
Powell, TN 37849-4029
Phone: (865) 859-8000
Approximate (ZIP-level) locationGet directions
Mailing address
4201 St. Antoine
Detroit, MI 48201
Registry dates
- Enumerated
- 2020-05-13
- Last updated
- 2024-11-19
- Certified
- 2024-11-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.