Provider Demographics
NPI:1932902715
Name:PERERA, SHEHANI DILTHARA (MD)
Entity type:Individual
Prefix:DR
First Name:SHEHANI
Middle Name:DILTHARA
Last Name:PERERA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:GAMAMEDALIYANAGE
Other - Middle Name:SHEHANI DILTHARA
Other - Last Name:PERERA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1200 MEMORIAL DR
Mailing Address - Street 2:
Mailing Address - City:DALTON
Mailing Address - State:GA
Mailing Address - Zip Code:30720-2529
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:800 GI MADDOX PKWY
Practice Address - Street 2:
Practice Address - City:CHATSWORTH
Practice Address - State:GA
Practice Address - Zip Code:30705-4008
Practice Address - Country:US
Practice Address - Phone:706-686-8015
Practice Address - Fax:706-686-8221
Is Sole Proprietor?:No
Enumeration Date:2025-03-28
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program