Provider Demographics
NPI:1962604355
Name:WEERASINGHE, DINESHA T (MD)
Entity type:Individual
Prefix:
First Name:DINESHA
Middle Name:T
Last Name:WEERASINGHE
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 1:200 QUINN DR STE 160
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15275-1055
Mailing Address - Country:US
Mailing Address - Phone:412-722-1003
Mailing Address - Fax:412-722-1024
Practice Address - Street 1:200 QUINN DR STE 160
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15275-1055
Practice Address - Country:US
Practice Address - Phone:412-722-1003
Practice Address - Fax:412-722-1024
Is Sole Proprietor?:No
Enumeration Date:2007-06-05
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD434755207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA102241042Medicaid
PA141357OtherMEDICARE
PA2079382OtherBLUE CROSS
PA102241042Medicaid
PA412722OtherUPMC
PA0002079382OtherHEALTH AMERICA