Provider Demographics
NPI:1104875715
Name:RANASINGHE, RUCHIKA N (MD)
Entity type:Individual
Prefix:
First Name:RUCHIKA
Middle Name:N
Last Name:RANASINGHE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2025 CIVIC CENTER DR
Mailing Address - Street 2:
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89030-6311
Mailing Address - Country:US
Mailing Address - Phone:702-633-7970
Mailing Address - Fax:702-633-5649
Practice Address - Street 1:3570 E FLAMINGO RD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89121-5000
Practice Address - Country:US
Practice Address - Phone:702-633-7970
Practice Address - Fax:702-633-5649
Is Sole Proprietor?:No
Enumeration Date:2006-05-09
Last Update Date:2020-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV10675174400000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV100502653Medicaid