Provider Demographics
NPI:1992409924
Name:RATNAYAKE, CHARITH (MD)
Entity type:Individual
Prefix:
First Name:CHARITH
Middle Name:
Last Name:RATNAYAKE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25151 GREAT BERKHAMSTED DR
Mailing Address - Street 2:
Mailing Address - City:ALDIE
Mailing Address - State:VA
Mailing Address - Zip Code:20105-3090
Mailing Address - Country:US
Mailing Address - Phone:703-946-6062
Mailing Address - Fax:
Practice Address - Street 1:25151 GREAT BERKHAMSTED DR
Practice Address - Street 2:
Practice Address - City:ALDIE
Practice Address - State:VA
Practice Address - Zip Code:20105-3090
Practice Address - Country:US
Practice Address - Phone:703-946-6062
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-27
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program