Provider Demographics
NPI:1386430114
Name:ADHIKARAM, DUSHMANTHI CHAMILA (MD)
Entity type:Individual
Prefix:DR
First Name:DUSHMANTHI
Middle Name:CHAMILA
Last Name:ADHIKARAM
Suffix:
Gender:
Credentials:MD
Other - Prefix:DR
Other - First Name:DUSHMANTHI
Other - Middle Name:CHAMILA ADHIKARAM
Other - Last Name:ADHIKARAM VITHANAGE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2613 W SESAME ST
Mailing Address - Street 2:
Mailing Address - City:DUNLAP
Mailing Address - State:IL
Mailing Address - Zip Code:61525-7527
Mailing Address - Country:US
Mailing Address - Phone:309-868-4065
Mailing Address - Fax:
Practice Address - Street 1:OSF CHILDREN'S HOSPITAL OF ILLINOIS 530 NE GLEN OAK AVE
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:IL
Practice Address - Zip Code:61637-7527
Practice Address - Country:US
Practice Address - Phone:309-868-4065
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-17
Last Update Date:2025-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program