Provider Demographics
NPI:1306162672
Name:JAYASINGHE, SAMAN KARL (MD)
Entity type:Individual
Prefix:DR
First Name:SAMAN
Middle Name:KARL
Last Name:JAYASINGHE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1430 TULANE AVE
Mailing Address - Street 2:#8033
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70112-2632
Mailing Address - Country:US
Mailing Address - Phone:504-988-2838
Mailing Address - Fax:504-988-4701
Practice Address - Street 1:131 S ROBERTSON ST
Practice Address - Street 2:SUITE 1140
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70112-2807
Practice Address - Country:US
Practice Address - Phone:504-988-2838
Practice Address - Fax:504-988-4701
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-12
Last Update Date:2020-06-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LA3120352083P0901X
LA390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program